Akeiisa Coleman

Nice @tradeoffs.org piece on state's efforts to improve health care access for people transitioning out of jails and prisons tradeoffs.org/2025/08/07/p...

The team at HARP highlights how #Medicaid reentry efforts may be impacted by HR 1 healthandreentryproject.org/the-obbbas-c...

Community Health Centers: The Unsung Heroes of Health Care Community health centers (CHCs) have been the backbone of the U.S.

It’s National Health Center Week. CHCs provide essential care to 32M+ people each year — no matter their income or insurance status.

Stay tuned for insights on how CHCs support community health and why they need more investment.
#NHCW25 #ValueCHCs

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…

Here is a new joint @georgetownccf.bsky.social and Georgetown CHIR brief from me and @sabrinacorlette.bsky.social explaining and analyzing the #Medicaid, CHIP, ACA Marketplace & other health provisions of the recently enacted budget reconciliation law: ccf.georgetown.edu/2025/07/22/m...

Former North Carolina Health Secretary Sees Hard Road Ahead for States Sweeping federal reforms force North Carolina and other states to make tough decisions about Medicaid coverage, costs and eligibility under mounting budget pressure.

Sweeping federal reforms are forcing North Carolina and other states to make tough decisions about Medicaid coverage, costs and eligibility under mounting budget pressure.

tradeoffs.org/2025/07/14/f...

Disabled Americans Fear What Medicaid Cuts Could Do to Them

The NYT looks at what Republican Medicaid cuts likely mean for disabled kids living well in loving families thanks to home health care — for some of them, institutionalization www.nytimes.com/2025/07/21/w...

More evidence of how costly #Medicaid work requirements may be: "The program has cost more than $100 million, with only $26 million spent on health benefits and more than $20 million allocated to marketing contracts, according to a KFF Health News analysis of state reports."

At the two year mark, only about 7,500 people have been enrolled in Georgia Pathways to Coverage (out of an est. 100,000 eligible). #Medicaid work requirements create barriers for eligible people to enroll in coverage and access needed health care services.

Community Paramedics Bring Mental Health Support to Rural Texas, but Funding Is a Challenge - Public Health Watch Community paramedics play a vital role in providing care and assistance that help keep people out of crisis and stabilize their lives. Rural areas struggle to fund the service.

Community paramedics play a vital role in providing care and assistance that can keep people out of crisis and stabilize their lives. Rural areas struggle to fund the non-emergency positions.
publichealthwatch.org/2025/07/09/c...

"Disaggregated, comparable & accessible data empower communities to define and solve their own problems—and help policymakers avoid waste, identify what works & ensure no one is inadvertently left behind." www.healthaffairs.org/content/fore... #healthpolicy #publichealth

Medicaid cuts could be devastating for the Delta and the rest of rural America | Alabama Reflector The cuts could be ruinous in Louisiana, which could lose up to $35 billion in federal Medicaid support over the next decade, according to KFF, a health policy research group.

Via @chatlanis.bsky.social, Kim Krisberg & @stateline.org: In Louisiana, where almost half of residents depended on Medicaid in 2023, Medicaid cuts could cost the state up to $35 billion in federal Medicaid support over the next decade, according to KFF, a health policy research group.

Provider taxes are key financing source for #Medicaid programs. If you slash those revenues & prohibit states from raising revenues via new provider taxes, that blows giant hole in Medicaid budgets. The resulting cuts will affect all on Medicaid: kids, seniors, disabled, parents, other adults, etc.

Recent Experience Shows National Medicaid Work Requirements Would Create Enormous Administrative Inefficiencies | Health Affairs Forefront The US health care system is already larded with bureaucracy; administrative costs account for nearly a third of total health care expenditures. Medicaid work requirements look set to siphon even more...

New today: Analysis of the administrative costs of implementing work requirements based on state waivers and the actual experience in AR & GA #Medicaid #WorkRequirements #healthpolicy www.healthaffairs.org/content/fore...

When CBO provides estimates of final Senate bill, they'll likely be an underestimate of its devastating impact. CBO assumes states can replace some of the revenues lost from #Medicaid provider taxes. Hard to see how that's realistic considering everything else in the bill including SNAP cost shifts.

New @urbaninstitute.bsky.social analysis finds that rural hospitals will be hit by $119B/10 years with #Medicaid cuts and expiration of the enhanced ACA tax credits: $87B in reduced revenues + $23B in higher uncompensated care costs: www.urban.org/urban-wire/r...

“If they weren’t on #Medicaid, after 90 days, if they were insulin dependent or had cancer…if they didn’t get a job w benefits to help pay for coverage, a lot of people would deliberately go do a crime. People shouldn’t have to choose between...being free or getting health care in a prison or jail.”

Can't recall past reconciliation bills having so many key provisions violating the Byrd Rule. Shows how rushed & reckless bill is. While it's great news parliamentarian has ruled against many draconian #Medicaid cuts, Senate Republicans may be able to amend the provisions to satisfy parliamentarian.

New CBO letter in response to House Republican leaders finds that House-passed reconciliation bill would cut #Medicaid enrollment by 10.5M (11.7% cut) and cut federal Medicaid spending by $125.2B (12.7% cut) in 2034, relative to current law baseline: www.cbo.gov/publication/...

How Medicaid and SNAP Cutbacks in the “One Big Beautiful Bill” Would Trigger Big and Bigger Job Losses Across States The budget bill recently passed by the House of Representatives reduces federal funding for Medicaid by $863 billion and for SNAP by $295 billion over 10 years.

Programs like #Medicaid and #SNAP don’t just support families — they strengthen entire state economies.

With deep federal cuts on the table, job losses and economic disruption are expected in every state.

📍 See what the impact could look like in yours:

Federal Proposals Threaten Provider Taxes, Key Source of Medicaid Funding for States - KFF Health News Republican proposals to tighten the use of special taxes to fund Medicaid programs could deprive states of billions of dollars for safety net health care. In California, any such limit would come on t...

Federal efforts to restrict the use of special Medicaid taxes could cost states billions.
kffhealthnews.org/news/article...

In Rio Grande Valley, Women Face Elevated Risks of Cervical Cancer. The Safeguards Aren’t Always There. - Public Health Watch A convergence of factors is leading to high rates of incidence and deaths from the disease among Latina women in deep South Texas.

"Among the points she makes to families is that they have options even with little or no health insurance, such as services from Planned Parenthood and federally qualified health centers. There may be no cost to see a doctor." publichealthwatch.org/2025/06/13/r...

"As a result, these expansion states would have to shrink the size of their existing hospital taxes...They would have to raise other taxes like income taxes or sale taxes, cut other parts of their budget like K-12 education, or... dramatically cut their #Medicaid programs."

"..the Senate draft...would result in the largest cuts to #Medicaid in the history of the program, higher premium costs & red tape for ACA marketplace enrollees, significant coverage losses, more uncompensated care for h/c providers, & strains on state budgets." www.healthaffairs.org/content/fore...

2025 Scorecard on State Health System Performance The Commonwealth Fund 2025 Scorecard ranks states’ health care systems based on how well they provide high-quality, accessible, and equitable health care.

The 2025 Scorecard shows a decade of real progress — every state cut its uninsured rate.

But that progress is fragile. New federal proposals — like Medicaid cuts and work requirements — could reverse it.

Nice dive into how proposed #Medicaid cuts would impact hospitals in Kentucky kypolicy.org/35-kentucky-... #RuralHealth #healthpolicy #

“Cuts to #Medicaid are going to be felt disproportionately in rural areas where Medicaid makes up a higher proportion of labor and delivery and for services in general,” Kozhimannil said. “It is a hugely important payer at rural hospitals, and for birth in particular.”

Brock & other providers fear cuts would close clinics & severely restrict access to health services in a rural region that desperately needs them & is largely dependent on #Medicaid.

Louisiana lawmakers, advocates and residents urge Congress not to cut Medicaid State lawmakers — both Republican and Democrat — are sounding the alarm on proposed cuts that could strip Medicaid coverage from nearly 190,000 Louisianans.

LA’s senate passed a formal appeal to Congress to avoid federal cuts to #Medicaid. The resolution warns that cuts would likely increase the amount of uncompensated care hospitals provide — driving up health care costs for everyone, including those with private insurance.
www.wwno.org/public-healt...

As an adult with a trach, I know first hand the panic when a DME order can't be sent because a new order is req'd or there's been a shipping delay. The added stress of the limitations of Medicaid & ensuring your child can breathe is a whole other level. Insurers/vendors can & should do better.

Medicaid Work Requirements in Arkansas: Experience and Perspectives of Enrollees | KFF This brief presents perspectives of enrollees and safety net providers about Arkansas' new Section 1115 Medicaid waiver work and reporting requirements based on focus groups and interviews. The discus...

In 2018, I was able to talk to #Medicaid enrollees and providers in Arkansas while the state was implementing this policy. www.kff.org/medicaid/iss...

"Work requirements place significant reporting burdens on #Medicaid enrollees. Even those who work more than 20 hours a week risk losing their coverage if they are unable to consistently document and submit proof of the number of hours they’ve worked."
bit.ly/43XeOFD