@edwincpark.bsky.social
Health policy especially Medicaid, CHIP and the Affordable Care Act. Research Professor at the Center for Children and Families (CCF) at Georgetown University’s McCourt School of Public Policy. ccf.georgetown.edu
Why are unprecedented violations of the constitution happening? Because the Supreme Court keeps encouraging Trump to violate the constitution with de facto impoundments, overruling lower courts that have actually tried to rein him in.
Minnesota has sued to halt CMS' unlawful, punitive effort to block federal #Medicaid funding through a "deferral". My colleague Andy Schneider takes a look at the lawsuit and how CMS isn't following its own regulations. A court hearing is scheduled for tomorrow: ccf.georgetown.edu/2026/03/06/c...
From my colleagues Tanesha Mondestin & Aubrianna Osorio, Prenatal Care: The Silent Maternal Health Emergency Hidden in New CDC Data: ccf.georgetown.edu/2026/03/10/p...
New CMS guidance gives states two options when to start implementing the H.R. 1 requirement for conducting renewals for #Medicaid expansion enrollees every six months. My colleague Tricia Brooks explains why option 2 is far better for states and beneficiaries: ccf.georgetown.edu/2026/03/06/c...
From my colleague Adam Searing: The Rural Health Transformation Fund: Political Rhetoric Meets Bipartisan Concern as the Program Moves Forward ccf.georgetown.edu/2026/03/06/t...
Welcome to my new Georgetown CCF colleague Adriana Kohler ccf.georgetown.edu/2026/03/05/c...
Some key House GOP leaders like Speaker Johnson and Budget Committee Chair Arrington are still pushing for a 2nd budget reconciliation bill with even more #Medicaid and other low-income program cuts despite reticence from the rest of the GOP caucus. www.notus.org/congress/mik...
We don't have good data from the federal government yet on ACA enrollment following the expiration of enhanced premium subsidies. But, the leading ACA insurer, Centene, says its enrollment has dropped from 5.5 million at the end of last year to 3.6 million.
www.fiercehealthcare.com/payers/cente...
When benefits are cut and patients don’t realize it, they risk unexpected out-of-pocket costs. In addition, when benefits expand and they again don’t realize it, the policy can’t deliver on its promise of enhanced access to services. #Medicaid #Dental www.commonwealthfund.org/blog/2026/bi...
On Medicaid Work Requirements, as required by HR-1 (2025):
"Meeting those requirements will be particularly challenging for the state’s roughly 180,000 homeless people. They often have no phones or internet to complete a job application. They have limited access to meals, showers or clean clothes."
In moving forward on a tax scheme that would undercut Missouri’s schools and harm our communities, Missouri legislators have made clear that their priorities lie with wealthy donors rather than hardworking Missouri families.
https://ow.ly/jGe650Ys0yV
Gov. Gretchen Whitmer wants to implement five new taxes to fund Michigan’s #Medicaid program amid declining federal funding
Republican leaders in the Legislature quickly call the tax hike proposal a nonstarter
And the over $1 trillion dollar cut to Medicaid will absolutely undermine even this relatively good labor market.
While employment in health care shrank this month, it continues to account for more than all of the jobs created over the past year.
NEW DATA: Americans in the battleground blame Republicans policies - like tariffs and Medicaid cuts - for their rising costs.
Read more in our latest report: https://navigatorresearch.org/tariffs-tax-cuts-trouble-for-republicans
Congress promised to protect Medicaid, then voted to slash funding by $1 trillion.
Home care services—the lifeline that keeps many older adults out of nursing homes—now hang in the balance.
First Trump Admin targeted Minnesota and is trying to block billions in federal funding from the state’s #Medicaid program. Then it similarly weaponized claims of Medicaid fraud against California and Maine. Now it is going after New York. There seems to be a pattern but what could it be…
Despite severe cost-shifts under H.R. 1's #Medicaid and SNAP cuts, GOP policymakers in a number of states are still pursuing further massive tax cuts. They should instead be identifying additional revenues to mitigate inevitable budget cuts slashing health, nutrition, and education due to H.R. 1.
The Trump Administration’s actions to take Medicaid funding away from states is a strategy to weaponize claims of fraud and ultimately take health care from people who can least afford it — putting their ability to meet their basic needs at risk: www.cbpp.org/blog/federal...
And ICYMI here is the latest blog by my veteran Medicaid expert colleague Andy Schneider on what is happening with the actions against Minnesota.
Hint: They are unprecedented.
ccf.georgetown.edu/2026/03/02/c...
And here again is my colleague Andy Schneider's blog on CMS's deferral of #Medicaid funding in Minnesota: ccf.georgetown.edu/2026/03/02/c...
Minnesota sues Trump Administration over CMS's unprecedented, punitive action to block the state's federal #Medicaid funding through a "deferral" which was announced last week: www.ag.state.mn.us/Office/Commu...
As promised my colleague Andy Schneider with a *must read* blog taking a deep dive into the Trump Admin's latest unprecedented effort to block federal #Medicaid funding in order to punish Minnesota. A few key takeaways to follow (1/x): ccf.georgetown.edu/2026/03/02/c...
States have started proposing steep reductions in disability services to cope with Medicaid cuts in the One Big Beautiful Bill Act. Idaho is the first to suggest scrapping home care altogether — An action with a high human cost. My latest @19thnews.org.
Ultimately the Trump Admin likely doesn't care if they eventually lose as part of the administrative appeals process or in litigation if they have managed to inflict harm on certain states and their #Medicaid programs in the immediate term (7/x)
That is clearly the goal: to use these #Medicaid oversight tools in unprecedented, dubious ways to punish Minnesota (and also pave the way for doing the same to other politically disfavored states). It's consistent with the Trump Admin's attempts to block funding elsewhere, like for child care (6/x)
In the interim, MN's will be under intense fiscal pressure to make up for all of this lost federal #Medicaid funding with state funds. That will not be sustainable beyond a short period if some or all of this federal funding is actually blocked through either deferrals or withholds (5/x)
So combined more than one-quarter of MN's federal #Medicaid funding is in the process of being blocked. While MN has legal recourse through a complex admin appeals process (and eventually through the courts), that will take a lot of time. (4/x)
That's on top of CMS continuing effort, announced in January and still moving forward, to block federal #Medicaid funding for MN through a different "withholding" process that likely has never been used and certainly not in this way and of this magnitude - roughly 18% of MN's federal $ (3/x)
CMS is now trying to withhold roughly 9% of MN's #Medicaid funding through an unprecedented use of a "deferral" process. But while deferrals have been used sometimes in the past, the amounts held back are very modest: no more than 1% and usually much much smaller than that (2/x)