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Elisabeth Wright Burak

@ewburak.bsky.social

Research faculty, maternal and early childhood health policy Georgetown University Center for Children and Families (CCF) based at the McCourt School of Public Policy. Medicaid/CHIP policy + interesting (to me) miscellany.

1,027 Followers  |  653 Following  |  35 Posts  |  Joined: 14.11.2024  |  1.6691

Latest posts by ewburak.bsky.social on Bluesky

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Trump Administration Blocks States from Keeping Babies and Toddlers Connected to Health Coverage On Sunday, the Administrator of the federal Centers for Medicare and Medicaid Services (CMS), Dr. Mehmet Oz, appeared on Face the Nation. He was pressed repeatedly on Medicaid cuts by Host Margaret…

My new blog w/ @ewburak.bsky.social

Actions speak louder than words when it comes to caring about kids covered by Medicaid.

Trump Administration Blocks States from Keeping Babies and Toddlers Connected to Health Coverage ccf.georgetown.edu/2025/08/08/t... via
@georgetownccf.bsky.social

08.08.2025 17:09 β€” πŸ‘ 4    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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Trump Administration Blocks States from Keeping Babies and Toddlers Connected to Health Coverage Last Sunday the Administrator of the federal Centers for Medicare and Medicaid Services (CMS), Dr. Mehmet Oz, appeared on Face the Nation. He was pressed repeatedly on Medicaid cuts by Host Margare…

Actions speak louder than words. Latest w/@joanalker1.bsky.social on CMS reversal of 1115s for continuous eligibility from birth to age 6. ccf.georgetown.edu/2025/08/08/t...

08.08.2025 16:35 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Trump Isn’t Done Cutting Your Health Care Now it’s low-income kids that Republicans are targeting.

@citizencohn.bsky.social does an amazing job explaining how harmful a policy choice it was that the Trump Administration ended continuous coverage for babies and toddlers.

A truly terrible decision for America's families.

Trump Isn’t Done Cutting Your Health Care www.thebulwark.com/p/trump-isnt...

20.07.2025 21:14 β€” πŸ‘ 158    πŸ” 66    πŸ’¬ 3    πŸ“Œ 3
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πŸ‘€In the name of β€œprotecting vulnerable Americans” the Trump Administration will rip away Medicaid coverage from babies and toddlersπŸ‘€

CMS announces Medicaid demos that 8 states are implementing to cover babies and young children continuously w/o gaps due to red tape will no longer be allowed.

17.07.2025 19:23 β€” πŸ‘ 24    πŸ” 20    πŸ’¬ 1    πŸ“Œ 7

Two additional states (IA and OH) have 0-3 or 0-6 CE 1115 proposals in development. Several states (e.g. AK, ME, MT) considered bi-partisan proposals do do the same during their 2025 legislative sessions.

17.07.2025 18:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Multi-Year Continuous Eligibility for Children As of January 1, 2024, all states are required to provide 12 months of continuous health coverage for children in Medicaid and the Children’s Health Insurance Program (CHIP). This reduces the risk …

Nine states were approved by Biden CMS to adopt continuous eligibility for children from birth to age 6, to ensure continuous coverage during the most rapid period of child development. ccf.georgetown.edu/2024/02/01/m...

17.07.2025 18:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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With the Big, Beautiful Bill, You Can Now Sponsor a Billionaire of Your Choosing "My fellow Americans: When you pay taxes, which would you rather support? Cancer research, or getting one guy a really big boat?" @petridishes writes:

With the Big, Beautiful Bill, Each Taxpayer Can Now Help Sponsor a Billionaire

01.07.2025 00:07 β€” πŸ‘ 705    πŸ” 212    πŸ’¬ 17    πŸ“Œ 16
The Big, Beautiful Bill assigns each American a billionaire who will live the
American dream for you. You can check in on your billionaire at intervals and see how he is using your money. Maybe he's building a 19th pool. Maybe he's buying himself some formerly public land! Maybe he's taking a Supreme Court justice on a dream vacation! Maybe he is reupholstering the Statue of Liberty to hide the poem.

The Big, Beautiful Bill assigns each American a billionaire who will live the American dream for you. You can check in on your billionaire at intervals and see how he is using your money. Maybe he's building a 19th pool. Maybe he's buying himself some formerly public land! Maybe he's taking a Supreme Court justice on a dream vacation! Maybe he is reupholstering the Statue of Liberty to hide the poem.

www.theatlantic.com/newsletters/...

01.07.2025 11:58 β€” πŸ‘ 5195    πŸ” 1581    πŸ’¬ 51    πŸ“Œ 113
Driver’s perspective of a dashboard missing the steering wheel.

Driver’s perspective of a dashboard missing the steering wheel.

β€œVery funny, Jesus. Give it back.”

01.07.2025 17:41 β€” πŸ‘ 2130    πŸ” 220    πŸ’¬ 72    πŸ“Œ 19
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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...

01.07.2025 14:11 β€” πŸ‘ 25    πŸ” 26    πŸ’¬ 2    πŸ“Œ 0
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Worth Repeating: Pregnant Women, Infants, Young Children are NOT Protected in Proposed Medicaid cuts Last month, the U.S. House passed the One, Big Beautiful Bill Act with an array of cuts to Medicaid and other critical supports for mothers, infants, and young children. Somehow, as Joan Alker desc…

Worth Repeating: Pregnant Women, Infants, Young Children are NOT Protected in Proposed Medicaid Cuts
ccf.georgetown.edu/2025/07/01/w...

01.07.2025 14:24 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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A $1 Trillion Medicaid Cut Is THIS Close to Happening. Here’s What It’d Look Like. Republicans are about to slash a lifeline for the needy. In North Carolina, people are preparing for chaos and calamity.

A $1 Trillion Medicaid Cut Is THIS Close to Happening. Here’s What It’d Look Like. www.thebulwark.com/p/medicaid-c...

01.07.2025 03:55 β€” πŸ‘ 8    πŸ” 7    πŸ’¬ 0    πŸ“Œ 0

Reminder that the median Medicaid eligibility level for pregnancy is over 2x the poverty level. Many of these people Mullin is referring to are pregnant or are children. www.kff.org/medicaid/iss...

30.06.2025 18:27 β€” πŸ‘ 197    πŸ” 77    πŸ’¬ 11    πŸ“Œ 1

New @npwf.bsky.social report says > 140 labor and delivery units at risk of closing under reconciliation bill:

30.06.2025 19:15 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Scott amendment eliminating 90% matching rate for #Medicaid expansion is being described as just about changing federal financing. It's effectively repeal! Amendment language is nearly identical to that in a section labeled "Repeal of Medicaid Expansion" in the 2017 House-passed ACA repeal bill!

30.06.2025 17:01 β€” πŸ‘ 22    πŸ” 9    πŸ’¬ 1    πŸ“Œ 2
Trump’s One Big Beautiful Bill: Last Week Tonight with John Oliver (HBO)
YouTube video by LastWeekTonight Trump’s One Big Beautiful Bill: Last Week Tonight with John Oliver (HBO)

The latest episode @lastweektonight.com dives into the Senate reconciliation bill’s impact on health care and food assistance, including work requirements and red tape featuring CBPP analysis: youtu.be/vjFL-cBcjKc?...

30.06.2025 17:11 β€” πŸ‘ 11    πŸ” 9    πŸ’¬ 0    πŸ“Œ 0
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Medicaid: A Lifeline for Women’s Health Across the Lifespan Medicaid is a critical source of health care for millions of US women, supporting them through every stage of life. Nearly 1 in 5 women aged 19-64 rely on Medicaid or CHIP. The Affordable Care Act …

From @tmondestin.bsky.social @georgetownccf.bsky.social Medicaid: A Lifeline for Women’s Health Across the Lifespan

30.06.2025 14:59 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Let's be clear: The Senate Republican bill would take away health coverage and food assistance from millions of people who need it β€” all to pay for tax cuts for the wealthy.

28.06.2025 22:40 β€” πŸ‘ 14    πŸ” 13    πŸ’¬ 2    πŸ“Œ 0
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Must be a truly terrific bill if Republicans' response to basic questions about its costs is "la la la I can't hear you"
(via @bbkogan.bsky.social)

29.06.2025 15:35 β€” πŸ‘ 721    πŸ” 208    πŸ’¬ 27    πŸ“Œ 10
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Senate Republicans Can Still Abandon Disastrous, Rushed Reconciliation Bill | Center on Budget and Policy Priorities The Senate is barreling toward a vote on a still-not-finished bill that would take away health coverage and food assistance from millions of people who need it, raise families’ costs, and make a large...

From @centeronbudget.bsky.social Senate Republicans Can Still Abandon Disastrous, Rushed Reconciliation Bill

29.06.2025 18:18 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Congressional Budget Office Confirms Senate Republican Reconciliation Bill’s Medicaid Cuts Are More Draconian than the House-Passed Bill In the late evening of Saturday, June 28th, the Congressional Budget Office (CBO) issued preliminary estimates of the current version of the Senate Republican budget reconciliation bill now being d…

My new blog on preliminary Congressional Budget Office estimates of the #Medicaid cuts & overall coverage effects under the current version of the Senate Republican reconciliation bill. They confirm the cuts are even more draconian than under the House-passed bill: ccf.georgetown.edu/2025/06/29/c...

29.06.2025 16:59 β€” πŸ‘ 10    πŸ” 11    πŸ’¬ 0    πŸ“Œ 3

The Senate version of the Medicaid work requirement in the "OBBB" doubles down and worsens a bad policy advanced by the House.

It also gives the Trump Administration enormous leverage to protect their Governor friends and punish their enemies.
🧡

28.06.2025 16:25 β€” πŸ‘ 10    πŸ” 6    πŸ’¬ 1    πŸ“Œ 0

Every major bill language release is happening under the cover of night. Tracks since the bill is so unpopular.

Are Senators really going to set millions of families backwards by taking health coverage & food asst away from them? Is that why they got into politics? Really?

28.06.2025 16:28 β€” πŸ‘ 9    πŸ” 8    πŸ’¬ 0    πŸ“Œ 1

The #Medicaid work requirements are almost the same as initial language except that the exemption for parents is now limited to parents of children age 13 and under (initial language was for children age 14 and under). States also now required to automate exemptions on "ex parte" basis (8/x)

28.06.2025 06:03 β€” πŸ‘ 32    πŸ” 7    πŸ’¬ 1    πŸ“Œ 0

Thread on just posted Senate Budget Committee reconciliation bill language. Despite Byrd Rule problems the draconian #Medicaid cuts are still largely the same as in initial language from 1.5 weeks ago and remain harsher than the House passed bill's cuts. (1/x): www.budget.senate.gov/imo/media/do...

28.06.2025 05:34 β€” πŸ‘ 150    πŸ” 98    πŸ’¬ 5    πŸ“Œ 8
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Senate OBBB Continues House Overreach on Immigrant Health Coverage by Imposing Restrictions on How States Can Spend Their Own Funds As we have already written, the House-passed reconciliation bill section 44111 would penalize expansion states for providing coverage with state-only funds to noncitizens otherwise ineligible for M…

My colleague Kelly Whitener walks through how the Senate Republican reconciliation bill is even harsher than the already harsh House-passed bill in taking away #Medicaid, CHIP and state-funded health coverage from immigrants: ccf.georgetown.edu/2025/06/24/s...

25.06.2025 22:36 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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New @georgetownccf.bsky.social & @smallbizmajority.bsky.social report on key role #Medicaid plays for small business owners, their employees & dependents. 1/5 have Medicaid and 1/3 of all Medicaid beneficiaries have a connection to small businesses. ccf.georgetown.edu/2025/06/26/o...

26.06.2025 18:00 β€” πŸ‘ 3    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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The Implications of Federal SNAP Spending Cuts on Individuals with Medicaid, Medicare and Other Health Coverage | KFF Proposed changes in eligibility rules in both SNAP and Medicaid may jeopardize some people’s access to both adequate food and health care if various provisions of the bill take effect, in part because...

Most people who receive SNAP also are enrolled in #Medicaid - so federal policy changes could mean that many of the same people could lose health coverage and food assistance. www.kff.org/medicaid/iss...

26.06.2025 22:14 β€” πŸ‘ 5    πŸ” 9    πŸ’¬ 1    πŸ“Œ 1

So current Senate/House Republican and White House defenses of their highly unpopular cuts gutting #Medicaid seem to just be (1) get over it (2) there are no Medicaid cuts.

27.06.2025 13:44 β€” πŸ‘ 9    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

With Senate GOP planning to bring their budget reconciliation bill and its draconian #Medicaid cuts to the floor this weekend, this from #Andor is relevant (but applies to many things going on):

β€œThe distance between what is said and what is known to be true has become an abyss.” - Mon Mothma

27.06.2025 14:19 β€” πŸ‘ 5    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0

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