Georgetown CCF

States Pursuing Medicaid Work Requirement Waivers Must Make Changes: How the OBB Changed the Landscape for Medicaid Work Requirements The new budget reconciliation law (aka OBBB — the One Big Beautiful Bill) makes the largest Medicaid cut in history ($990 billion over ten years). It will likely take health insurance away fr…

Leo Cuello and I blogged on the new Medicaid work requirements

DONT apply in 8 states (AL, FL, KS, MS, SC, TN, TX, WY)

The new provision is not waivable + takes effect in 2027

Any states currently seeking waivers (GA for example) now have to comply w/ new rules

ccf.georgetown.edu/2025/07/23/s...

Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained In partnership with On July 4, 2025, President Trump signed the Congressional Republican budget reconciliation bill into law (H.R. 1 or P.L. 119-21).  Earlier, on July 1, 2025, the Senate pass…

Need a good resource for the health provisions in HR1? @georgetownccf.bsky.social & Center for Health Insurance Reform have published an explainer! ccf.georgetown.edu/2025/07/22/m...

New CHIP Protections are In Effect Now Despite Congressional Efforts to Eliminate Them During the legislative process, most of the talk was about Medicaid cuts, but we highlighted that the Children’s Health Insurance Program (CHIP) would not be spared if the budget reconciliati…

Tricia Brooks and I wrote a blog about what is likely a surprise to many given the late night craziness of the OBBB journey thru the Senate.

New CHIP Protections are In Effect Now Despite Congressional Efforts to Eliminate Them ccf.georgetown.edu/2025/07/24/n... via @georgetownccf.bsky.social

Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained In partnership with On July 4, 2025, President Trump signed the Congressional Republican budget reconciliation bill into law (H.R. 1 or P.L. 119-21).  Earlier, on July 1, 2025, the Senate pass…

Wondering what was in that "big, beautiful bill" that whizzed through Congress? @edwincpark.bsky.social @sabrinacorlette.bsky.social, explain Medicaid, CHIP & ACA Marketplace provisions in a new brief. ccf.georgetown.edu/2025/07/22/m...

Our new explainer is here -- all you need to know about the Medicaid, CHIP and ACA Marketplace provisions in the new budget reconciliation law.

A10: Medicaid plays a pivotal role by providing access to care for many people who would otherwise not be able to afford it, making it an indispensable part of the nation’s response to the mental health crisis. #WellnessWed

People covered by Medicaid don’t get a check in the mail – they get access to lifesaving care without facing astronomical medical bills. It supports the mental health and wellbeing of kids, youth, pregnant women, new mothers, and others amid a mental health crisis #WellnessWed

A9: Medicaid serves as a lifeline to millions of Americans with mental health needs. It supports the mental health and wellbeing of children, youth, pregnant women, new mothers, and other adults amid a documented mental health crisis. #WellnessWed

A8: As the single largest payer of mental health services, Medicaid serves as a key support for state mental health crisis and treatment systems, including mobile crisis services. ccf.georgetown.edu/2022/01/06/c...

A7: Medicaid not only covers the cost of counseling and other service appointments, but pays for life-saving medications like Naloxone and treatment medications for opioid, alcohol and nicotine use disorders. #WellnessWed ccf.georgetown.edu/2025/02/19/h...

A5: Mothers and babies need access to care to address physical and mental health needs. During pregnancy and following the birth of a new baby, Medicaid includes services such as effective interventions for chronic conditions. #WellnessWed ccf.georgetown.edu/2024/01/23/s...

#WellnessWed ccf.georgetown.edu/2025/01/09/h...

A4: States have leveraged Medicaid to boost school-based mental health services to help address the youth mental health crisis. #WellnessWed ccf.georgetown.edu/2024/01/23/s...

R4: Los estados han usado Medicaid para mejorar los servicios de salud mental en las escuelas para ayudar a tratar la crisis de salud mental en los jóvenes #WellnessWed ccf.georgetown.edu/2024/01/23/s...

A3: Medicaid’s pediatric benefit, known as Early and Periodic Screening, Diagnostic, and Treatment or EPSDT, requires child and adolescent providers to screen, diagnose, and treat behavioral health conditions and states to cover this essential care. #WellnessWed

The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...

Does the House GOP reconciliation bill take health insurance away from newborn babies? Why yes, yes it does. If you read nothing else today, read this post from CHIRblog guest authors @jasonlevitis.bsky.social and @clinkeyoung.bsky.social chirblog.org/the-sleeper-...

Estimated Budgetary Effects of a Bill to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14, the One Big Beautiful Bill Act As ordered reported by the House Committee on the Budget on May 18, 2025

New CBO estimates of reconciliation bill reported by Budget Committee Sunday: gross #Medicaid cuts of $792B before interactions with ACA changes. Total of $803B in net health care cuts. Estimates don't account for Rules Committee changes with even harsher Medicaid cuts. www.cbo.gov/publication/...?

Incredibly important thread from my colleague @edwincpark.bsky.social as the House bill language evolves. The majority of states including many red and purple states face huge Medicaid cuts because they cover lawfully residing children and pregnant women which is a federal option!

Our new report on the role of Medicaid for women of child-bearing age in rural areas w/ state by state data is here

Medicaid covers 47% births in rural areas

Rural areas have been losing labor + delivery units. Medicaid cuts will make this scary situation even worse for moms and babies.

Reupping our new @georgetownccf.bsky.social report on how #Medicaid plays a particularly vital role in providing health coverage to women of childbearing age in rural communities and small towns: ccf.georgetown.edu/2025/05/15/m...

New report underscores the importance of Medicaid to maternal and infant health in rural America. ccf.georgetown.edu/2025/05/15/m...

How Do We Know Congress’s Work Requirements in Medicaid Will Fail? They Already Have. As expected, the House’s rushed attempt to finance the Trump Administration’s immigration and tax agenda by cutting Medicaid includes a “work requirement.” Proponents claim that it is intended to s…

Medicaid work requirements have a catchy name, but they will catch up a lot of eligible people in red tape and cause them to lose their health coverage. House Energy and Commerce Committee is debating this now. #healthpolicy ccf.georgetown.edu/2025/05/13/h...

Right now, the House Energy and Commerce Committee is marking up legislation to cut Medicaid. Polls show voters want Congress to cut health care costs not Medicaid.

House Energy and Commerce Committee Medicaid Provisions Released, Mark-Up Set for Tuesday Statement by Joan Alker, Executive Director of the Georgetown University Center for Children and Families, regarding Medicaid provisions included in the House Energy and Commerce budget reconciliat…

OK that was an entertaining, unexpected moment. Rep. Castor just entered my statement into the record.

Full statement is here: ccf.georgetown.edu/2025/05/12/h...

R5: Medicaid provee fondos para servicios médicos y otros servicios elegibles para estudiantes discapacitados, lo que ayuda a las escuelas a mejorar el acceso a necesarios servicios. Lee cómo se compara tu distrito #WellnessWed ccf.georgetown.edu/2025/01/09/h...

A5: Medicaid provides funding for eligible medical and related services for students with disabilities, helping schools offer increased access to necessary care. See how your district measures up #WellnessWed ccf.georgetown.edu/2025/01/09/h...

R4: Los recortes de Medicaid pueden reducir los fondos para proveedores de cuidados familiares, trabajadores directos, ancianos y personas discapacitadas. Apoyar Medicaid es esencial para apoyar a largo plazo a las familias y al sistema.
ccf.georgetown.edu/2025/03/11/h...

A4: Cuts to Medicaid could jeopardize funding for family caregivers, direct care workers, older adults, and people with disabilities. Supporting Medicaid is foundational to supporting families and the long-term care system. #WellnessWed
ccf.georgetown.edu/2025/03/11/h...

R3: Los HCBS ayudan a la gente a vivir en sus hogares pero usualmente son opcionales y lo más seguro serán los primeros en ser cortados si se reducen los fondos federales para Medicaid. www.healthaffairs.org/content/fore... #WellnessWed

A3: HCBS help people remain in their own homes, but they are largely optional and likely to be the first to see cuts if states receive less federal Medicaid funding. www.healthaffairs.org/content/fore... #WellnessWed