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Medicaid

12 briefs

power 2026-05-08

Moderate Republicans Block Medicaid Cuts, for Now

Vulnerable GOP senators blocked the third reconciliation bill over Medicaid fear, but the cuts already signed into law via H.R. 1 are hitting millions of Americans right now.

ethics 2026-05-06

900 Health Facilities Are At Risk of Closing. States Are Trying to Fill a Hole They Cannot Fill.

The One Big Beautiful Bill cut $911 billion from Medicaid over ten years. The rural health fund it created to compensate is $50 billion over five years. The math does not balance.

power 2026-05-01

Nebraska Just Started Kicking People Off Medicaid for Not Working. The Federal Government Won't Track What Happens Next.

The biggest change to Medicaid since the ACA is rolling out state by state, with no federal reporting requirement, definitions that aren't finalized, and a January 2027 deadline that 43 states have to hit without knowing the rules.

decision 2026-04-27

The Medicaid Clock: Eight Months to Build What Arkansas Couldn't in Three Years

H.R. 1 mandated Medicaid work requirements effective January 1, 2027. States have less than 18 months to build the verification infrastructure. Nebraska starts first in May. The evidence from every prior work requirement program shows the same outcome: eligible people lose coverage, employment doesn't increase.

power 2026-04-26

RFK Jr. Told the Senate He Is Not Cutting Medicaid. His Budget Cuts $15.8 Billion From HHS.

While RFK Jr. testified that he was not reducing Medicaid coverage, his own 2027 budget proposal would impose new eligibility restrictions, eliminate payments to family caregivers, and defund programs used disproportionately by disabled children and rural hospitals.

decision 2026-04-23

Trump Got All 17 Pharma Companies to Say Yes. Now the Hard Part Starts.

Every major drug company has signed a most-favored-nation pledge. None of it is enforceable, and the tariff relief that made it happen just created a new exemption class.

ethics 2026-04-21

Pennsylvania Court Strikes Down Medicaid Abortion Ban, Opening the Next Front in the Post-Dobbs War

The ruling uses the state constitution's Equal Rights Amendment to establish a fundamental right to reproductive autonomy. That's a legal argument designed to survive federal courts.

power 2026-04-20

Kennedy Is Running HHS. Trump Nominated a Vaccine Supporter to Run the CDC.

RFK Jr. got grilled in Congress over killing a CDC vaccine awareness campaign. The same week, Trump nominated a former deputy surgeon general who supports vaccines to lead the CDC.

power 2026-04-18

Fraud Is the Pretext. The Map Tells You the Truth.

Trump says he's cracking down on Medicaid fraud. The enforcement actions are concentrated in blue states. Minnesota fixed the problem CMS cited and lost the funding anyway. The pattern is not about fraud.

decision 2026-04-18

446 Hospitals Facing Closure Didn't Vote for This

The One Big Beautiful Bill's Medicaid work requirements kick in January 2027. A new analysis finds 446 hospitals in 44 states face elevated closure risk. The cuts are not designed to fix Medicaid. They are designed to end it.

power 2026-04-14

446 Hospitals Are Now at High Risk of Closing. Most Are in Trump Country.

A new Public Citizen analysis names 446 hospitals across 44 states at heightened risk of closure after the Medicaid cuts in the One Big Beautiful Bill. The hospitals most exposed are rural, and the counties they serve voted heavily for Trump.

power 2026-04-09

States Are Already Cutting Medicaid. Congress Hasn't Even Voted Yet.

Missouri, Montana, Virginia, and other states are preemptively eliminating Medicaid services — doula care, psychiatric units, dental coverage — in anticipation of federal cuts that have not yet been enacted. The cuts are happening twice: once in advance, and once when the bill passes.