Read my colleague Leo Cuello's latest on Trump Administration's proposed Medicaid rule going far beyond what Congress mandated in last year's bill cutting Medicaid to make even more unilateral (and likely illegal) large cuts to state Medicaid funding... ccf.georgetown.edu/2026/05/28/c...

CMS Triples Harmful Impact of HR 1 Medicaid Provider Cuts in State Directed Payment Proposed Rule

Massive Overreach will Undermine Access to Health Care for People Covered by Medicaid Last week, on May 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released a proposed regulation on...

ccf.georgetown.edu

The # of kids enrolled in Medicaid is declining much more quickly than during Trump’s 1st term when the child uninsured rate rose For families facing cost pressures, even 1 month of a child going uninsured exposes them to dangerous choices My new blog explains: ccf.georgetown.edu/2026/05/28/t...

Two Million Fewer Children are Enrolled in Medicaid Since Trump Took Office

Child uninsured rate likely on the rise Our state-by-state Medicaid/CHIP enrollment tracker now indicates that 2 million fewer children were enrolled in Medicaid and CHIP as of April, 2026 as compared...

ccf.georgetown.edu

Our updated @georgetownccf.bsky.social tracker finds that 16 months into President Trump’s 2nd term, Medicaid is covering 2 million fewer children. This is very bad news b/c the child uninsured rate is likely going up as a result. And this is before HR 1 Medicaid cuts kick in.

My latest: The "big beautiful bill" passed by Congress last year with nearly $1 trillion in cuts to Medicaid is starting to result in significant closures of rural health and hospital services around the US. And the "rural health fund" isn't a replacement ccf.georgetown.edu/2026/05/01/r...

Rural Hospitals and Communities Feeling Impact of H.R. 1 Medicaid Cuts, Rural Health Fund Falls Short

More stories have been published across the country in recent weeks detailing how the federal cuts to health care passed last year by Congress and signed into law by President Trump in H.R. 1, “The On...

ccf.georgetown.edu

Medicaid cuts threaten hundreds of hospitals, new report finds www.nbcnews.com/health/healt...?

Medicaid cuts threaten hundreds of hospitals, new report finds

Together, the hospitals provide care for nearly 7 million patients across the U.S., according to the analysis.

nbcnews.com

CCF now has updated its data on #Medicaid and CHIP coverage rates by individual school districts using 5-year American Community Survey estimates. Click on the state and then search by district name: ccf.georgetown.edu/feature/medi...

Medicaid/CHIP Coverage by School Districts, 2020-2024

[Editor’s Note: This page was last updated March 20, 2026] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana I...

ccf.georgetown.edu

After listening to the Supreme Court argument around citizenship and the 14th Amendment this morning, my main thought is that @aclu.org's Cecillia Wang makes me very proud to be both a lawyer and an American.

From my colleague Adam Searing: States are Beginning to Grapple with Federal Medicaid Cuts Impact on Rural Health Care ccf.georgetown.edu/2026/03/31/s...

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 ...

ccf.georgetown.edu

@georgetownccf.bsky.social is thrilled to welcome a new colleague this week (though she is not new to many of us). ccf.georgetown.edu/2026/03/05/c... Adriana will be working full time tracking the implementation of Medicaid work reporting requirements.

CCF Welcomes Adriana Kohler to Our Team

Earlier this week, CCF welcomed Adriana Kohler to our team. Many of us know Adriana from her years as one of our state Finish Line partners in Texas where she served as the Policy Director of Texans C...

ccf.georgetown.edu

The Rural Health Transformation Fund: Political Rhetoric Meets Bipartisan Concern as the Program Moves Forward ccf.georgetown.edu/2026/03/06/t...

The Rural Health Transformation Fund: Political Rhetoric Meets Bipartisan Concern as the Program Moves Forward

The Trump administration frequently highlights investments in rural health care. While the federal budget bill H.R. 1 (often referred to as the “One Big Beautiful Bill”) passed last year did establish...

ccf.georgetown.edu

A serious effort to detect fraud against Medicaid would not dump data online with no context. CMS itself indicates elsewhere on their website that in 22 states the underlying data that was dumped by the Trump Administration was “unusable” or of “high concern”.

Larry Levitt@larrylevitt.bsky.social · 6mo ago

I’m always for more data. But, be careful using the new Medicaid spending data released by the Trump administration. It’s missing a lot of important details and context. www.kff.org/medicaid/wha...

Rural health transformation fund” in HR1 was peddled as saving rural hospitals from draconian federal Medicaid cuts. Yet a rural hospital in Idaho is already on the brink and the fund won’t save them And this in Sen. Crapo Ch. Senate Finance Ctte’s home state www.eastidahonews.com/2026/01/perf...

'Perfect storm': Why Teton Valley Health Care chose to lay off staff, close infusion clinic - East Idaho News

DRIGGS — Facing difficult decisions as state and federal funding stalls, Teton Valley Health Care administrators made the decision to lay off dozens of employees and close an infusion clinic. In all, ...

eastidahonews.com

CMS Administrator Oz gets a couple pretty important facts about rural health and the recent federal Rural Health Transformation Fund wrong in a recent video. ccf.georgetown.edu/2026/02/06/f...

Fact-Checking Dr Oz’ Claims About Rural Health Investments

CMS Administrator Mehmet Oz makes two statements in this short video that are not correct: Rural areas and small towns need assistance with health care affordability, quality and accessibility. The Ru...

ccf.georgetown.edu

Truly amazing reporting from the Minnesota Reformer today minnesotareformer.com/2026/01/23/8...

8 weeks under siege in Minnesota • Minnesota Reformer

Frank has a hard time explaining to his 8-year-old daughter why they rarely leave their home in the Twin Cities. Why she can’t go to school, and why he can’t work. “The only thing we tell her is that ...

minnesotareformer.com

Trump Administration Severely Limits Funding for Rural Hospitals and Clinics from Rural Health Transformation Fund – Capped at 15% ccf.georgetown.edu/2025/10/21/t...

Trump Administration Severely Limits Rural Health Transformation Funds for Rural Hospitals and Clinics – Capped at 15%

Passage of the budget reconciliation law signed into law by President Trump (HR1) will result in a gross reduction of $990 billion in federal Medicaid and CHIP spending over 10 years and an increas…

ccf.georgetown.edu

From @adamsearing.bsky.social the latest on the budget reconciliation law rural health fund. Trump Admin is telling states they can’t use more than 15% of $ for provider payments including to rural hospitals & wants states to expand enrollment in short term plans. ccf.georgetown.edu/2025/09/19/u...

Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts on Rural Hospitals

I grew up in North Carolina and often split my time between the urban center of the state and some of its most beautiful and rural areas on the back sounds “Down East.” This part of NC is so rural …

ccf.georgetown.edu

Georgia's Medicaid work requirement program spends more on administrative costs than on providing care and has enrolled less than 3% of the eligible population. Thanks to HR 1, we'll be rolling it out to the whole country. Senseless. @apnews.com apnews.com/article/geor...

Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs

A government watchdog has raised concerns about high administrative costs in Georgia's Medicaid program. The U.S.

apnews.com

I‘m thinking today about Saint Ignatius, the Budget Reconciliation Bill’s “Rural Health Transformation Fund” and Down East North Carolina: Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics? ccf.georgetown.edu/2025/09/19/u...

Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts on Rural Hospitals

I grew up in North Carolina and often split my time between the urban center of the state and some of its most beautiful and rural areas on the back sounds “Down East.” This part of NC is so rural …

ccf.georgetown.edu

ICYMI: from Georgetown CCF and CHIR our comprehensive analysis of the budget reconciliation law's draconian #Medicaid, CHIP, ACA Marketplace cuts as well as other health provisions. We now have an easier-to-print PDF version. ccf.georgetown.edu/2025/07/22/m...

Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained

Editor’s Note: this brief was updated on August 13, 2025 to reflect additional Congressional Budget Office coverage estimates of the reconciliation law issued on August 11, 2025 In partnership with…

ccf.georgetown.edu

Buried in grant docs for HR1 Rural Health Fund: States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5 www.grants.gov/search-resul...

Commentary - Is West Virginia ready for Capito Care? westvirginiawatch.com/2025/07/31/i...

Is West Virginia ready for Capito Care? • West Virginia Watch

By 2027, the largest cuts to Medicaid in history will have been ushered in by HB 1 hurting a broad swath of West Virginia families.

westvirginiawatch.com

Messaging spin v. actual wording of the law that passed Congress: Coming federal Medicaid cuts hitting state budgets will not be negated by the newly-created but misnamed Rural Health Transformation Program. ccf.georgetown.edu/2025/09/02/u...

Untangling the Current Debate Around Federal Medicaid Cuts, the “Rural Health Transformation Program” and State Medicaid Budgets

The Congressional Budget Office estimates that the budget reconciliation law signed into law by President Trump (HR1) will result in a gross reduction of $990 billion in federal Medicaid/CHIP spend…

ccf.georgetown.edu

Senate passed billion reduces federal #Medicaid spending by $1 trillion over 10 years and will have major implications for millions of people who rely on Medicaid coverage, states and providers.

Larry Levitt@larrylevitt.bsky.social · last yr.

The Senate has just passed what amounts to the biggest health reform plan since the ACA, rolling back many of the health insurance coverage increases achieved by the ACA.

My home state GOP Senator Thom Tillis dug up the facts and said it best this week on $1 trillion in cuts to Medicaid. @JoanAlker1, Andy Schneider, and I let his words speak for themselves in our new blog. ccf.georgetown.edu/2025/07/01/t...

Truth to Power:  A Republican Senator Stands Up for Medicaid and His Constituents; Then Announces Retirement

With Vice President breaking the tie, the U.S. Senate just voted 50-50 “One Big Beautiful Bill Act”, the crown jewel of President Trump’s legislative agenda.  With final text not even availabl…

ccf.georgetown.edu

@adamsearing.bsky.social and I wrote a blog about the "One Big Beautiful Bill" -- its an attack on the vision of universal coverage of the Affordable Care Act - President Obama's legacy. ccf.georgetown.edu/2025/06/11/t...

The “One Big Beautiful Bill” is an Attack on the Affordable Care Act’s Vision of Health System that Works for Everyone

For over 100 years, the unfinished business of creating a health care system that covers all Americans has raged on. With President Obama making this a top priority, in 2010 this effort took an unp…

ccf.georgetown.edu

Rural fund is thus a "fig leaf" to placate R Senators concerned about #Medicaid cuts. It's small/capped, temporary while the cuts are permanent, poorly targeted, gives discretion to Trump Admin to send $ to favored states, and may not even go to help rural hospitals actually hurt by the cuts (8/x)

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. 🧵

One more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)

Want to know what Congress did to Medicaid in the middle of the night? 🔥 off the presses our georgetownccf.bsky.com explains. ccf.georgetown.edu/2025/05/27/m...

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.