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Posts by Joan Alker

Reminder:

In December 2025, buried in highly technical guidance on state reporting for Medicaid + CHIP, Sec. Kennedy quietly DROPPED mandatory reporting of child and adolescent immunization rates for half the kids in the U.S.

A radical move away from transparency.

www.medicaid.gov/federal-poli...

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Also Nebraska’s new Medicaid work requirement video gets things wrong like saying parents with kids under 14 may be exempt.

These parents ARE exempt.

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Understanding Medicaid Work Requirements
Understanding Medicaid Work Requirements YouTube video by Nebraska DHHS OCM Team

New video for Medicaid enrollees in NE on work reporting requirements is low production value and doesn’t share contact info for help until minute 8.

Nebraska is going 1st to implement Medicaid work requirements on 5/1. Yikes.

m.youtube.com/watch?v=Q7PF...

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Helpful new report from @AARPpolicy on new Medicaid requirements from HR1, the Republican budget bill from last year.

22 states will be required to RAISE costs for Medicaid enrollees. 4 states will have to lower them.

www.aarp.org/content/dam/...

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"Medicaid is the largest payer of opioid use disorder treatment, and in 2023 it covered nearly half of all non-elderly adults in the U.S. with opioid use disorder in 2023" #Medicaid #OUD #healthpolicy

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Rooted in Justice and Joy: What Black Maternal Health Demands of Us Right Now This week marks the 10th annual Black Maternal Health Week led by the Black Mamas Matter Alliance (BMMA). The theme, Rooted in Justice and Joy, honors a decade of movement-building by Black-led organi...

My colleague Tanesha Mondestin blogs for Black Maternal Health Week.

ccf.georgetown.edu/2026/04/15/r...

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Medicaid expansion boosted access to opioid addiction treatment medication, study says • Stateline In the eight states that expanded Medicaid after 2018, the number of people receiving prescriptions for the opioid addiction treatment medication buprenorphine increased dramatically, according to a p...

Medicaid expansion boosted access to opioid addiction treatment medication, study says stateline.org/2026/04/10/m...

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AP Exclusive: Trump administration admits a glaring error in its New York health fraud accusations President Donald Trump's administration has admitted to a major error in data used to justify a federal fraud probe into New York’s Medicaid program.

The Trump Admin attack on Medicaid fraud primarily in blue states is nothing more than an effort to distract voters from Medicaid cuts and attack their political enemies.

The math Dr. Oz used in his official letter to NY was such garbage even he had to admit it.

apnews.com/article/new-...

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The Supreme Court’s Birthright Citizenship Decision Could Dramatically Impact Newborns’ Access to Health Care The Supreme Court heard oral arguments last week in the case of Trump v. Barbara, offering the first insight into how the Court will decide the legality of President Trump’s executive order attempting to end birthright citizenship for the children of undocumented immigrants and immigrants who are in the country legally but temporarily (such as, […]

Kelly Whitener and I blog on a huge, looming disruption to newborns' access to care if birthright citizenship is struck down.

The Supreme Court’s Birthright Citizenship Decision Could Dramatically Impact Newborns’ Access to Health Care ccf.georgetown.edu/2026/04/10/t... via @GeorgetownCCF

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States are Beginning to Grapple with Federal Medicaid Cuts Impact on Rural Health Care Over the past week more national media outlets published articles on the effects of federal cuts to health care passed last year by Congress and signed into law by President Trump in H.R. 1, “The One ...

Bipartisan concerns are growing about the impact of OBBA Medicaid cuts on rural hospitals. #MedicaidAwarenessMonth https://bit.ly/41mhADE

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Medicaid: 50-State Snapshots Click on a state below to view its fact sheet. National Snapshot Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Ma...

Check out how Medicaid helps people in your state. #MedicaidAwarenessMonth
https://bit.ly/4bZr8KO

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Every month is #MedicaidAwarenessMonth @GeorgetownCCF. Our series of fact sheets explains how Medicaid helps children, pregnant women, caregivers, people with disabilities, seniors, and families who otherwise could not afford health care.

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Happening today at noon - interested members of the media please email Catherine.hope@georgetown.edu

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After taking time to connect with the Pretti family and with their consent, we are honored to share that we have created the Alex Pretti Nursing Scholarship.

For those interested, you can learn more and make a gift here: crowdfund.umn.edu/campaigns/Al...

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Hats off to #ThePitt for depicting an all too common reason why there are uninsured kids in the U.S.

Most uninsured kids are eligible for Medicaid or CHIP but they’ve lost coverage due to red tape barriers.

The nation’s progress on this very issue is now at grave risk.

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We’re holding our monthly press call for reporters on Monday 4/6 at noon ET. We will cover what’s hot with Medicaid, children’s health, and do some fact checking on the Administration’s narrative about alleged fraud.

Reporters should email Catherine.hope@georgetown.edu for details.

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Which Parents Will be Impacted by Medicaid Work Reporting Mandate? A new work reporting requirement for adults in Medicaid is one of the most widely publicized provisions in the Trump budget reconciliation bill (H.R. 1) passed last year and accounts for a great deal ...

My latest blog with Adriana Kohler is here for on parents and Medicaid work requirements:

The bottom line - the vast majority of parents are exempt including anyone with a child under 14.

But there is a lack of awareness — and of course there are complexities.

ccf.georgetown.edu/2026/04/02/w...

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There are a few states that are planning to start in the next few months so it’s complicated. Nebraska and Montana for sure but there are a few others that are murky - I’ll post when we know more definitively. I’ve got a blog coming on these very issues.

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Yes. The original version of HR1 had implementation date of after next Presidential election but the Freedom Caucus complained so it got moved up to after the midterms.

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In most states they go into effect on January 1, 2027.

Nebraska is starting May 1, 2026.

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States say ICE pulled Medicaid data despite court order • Missouri Independent A coalition of 22 states told a federal court that the Trump administration appears to have violated a court order that limited the types of health data that could be shared with U.S. Immigration and ...

States say ICE pulled Medicaid data despite court order missouriindependent.com/2026/03/31/r...

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A PSA that I’ll keep sending due to misinformation and confusion.

Medicaid work requirements are not in effect yet.

Even when they are all parents with children under 14 are EXEMPT.

Spread the word.

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This is just such bad (or bad faith?) math by CMS

Calculating the total number of homecare recipients by adding the monthly enrollment numbers fundamentally misunderstands the concept of homecare and shows that nobody actually thought about the math before crying fraud

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The Basic Math Error in Dr. Oz’s Fraud Letter - Fiscal Policy Institute With billions of dollars and the lives of vulnerable New Yorkers at stake, this administration can’t even add correctly.

Must read on how Dr Oz's estimate of alleged Medicaid fraud in NY is likely vastly overstated due to a simple math error.

Scary that this is where the federal agency that runs a great deal of the US health care system is at.

fiscalpolicy.org/the-basic-ma...

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All generations out protesting today in Washington DC. #NoKings #FreeDC

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Not to mention setting millions of Americans on a path to becoming uninsured which means they are entirely knocked out of a health system for which having insurance is the price of admission.

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This speaks to the folly of HR1 last year which made historic cuts of nearly $1 trillion to Medicaid the leanest part of our health care system while doing nothing to address the high costs of health care.

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Graph showing lower health care spending between 2010-2024 compared to original projections.

Graph showing lower health care spending between 2010-2024 compared to original projections.

H/T to @davidmwessel.bsky.social for flagging new @brookings.edu research from @davidmcutler.bsky.social & Lev Klarnet. One of the goals of the ACA was to help slow growth in health care costs systemwide. They find lower-than-projected costs between 2010-2024 (1/2): www.brookings.edu/articles/has...

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