We’ve update our Medicaid enrollment tracker and the news for children isn’t good. Since January 2025 there has been a shocking drop of 2.3 million kids enrolled in Medicaid/CHIP. This means the child uninsured rate is likely going up.
Edwin Park
@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
MO voters resoundingly reject Amendment 5. "Missourians saw through the bait-and-switch. Voters clearly chose to protect our schools and services over a tax cut for the rich.” https://mobudget.org/voters-resoundingly-reject-amendment-5/
Voters Resoundingly Reject Amendment 5 - Missouri Budget Project
For Immediate Release: August 4, 2026Contact: Traci Gleason or Amy Blouin Missourians overwhelmingly rejected Amendment 5 in the August election, saying no to the tax scheme that would have hit working families to give the wealthy yet another tax cut. “Missourians saw through the bait-and-switch,” said Amy Blouin, President and CEO of Missouri Budget Project, a nonprofit organization that analyzes state budget and tax issues. “Voters clearly chose to protect our schools and services over a tax cut for the rich.” Amendment 5 would have required the General Assembly to eliminate the income...
mobudget.org
My CCF colleague Andy Schneider testified today at a Senate Budget Committee hearing on #Medicaid. Here’s his excellent written testimony covering recent child enrollment losses, HR 1’s cuts, Medicaid spending trends, and program integrity issues: www.budget.senate.gov/download/mr-...
U.S. Senate Committee On The Budget
The Official U.S. Senate Committee On The Budget
budget.senate.gov
Schneider: Since January, 2025, 2.3 million children have been dropped from Medicaid. That’s as many children as the populations of Alaska, Delaware, Maine, Montana, New Hampshire, North Dakota, Rhodes Island, South Dakota, Vermont, Wyoming, and the District of Columbia combined.
Update on this: Census Bureau announces delay in release of ACS to “later this year” due to Commerce Dept order. ACS data typically released in mid September.
Edwin Park@edwincpark.bsky.social · 7d agoThis has not received enough attention but a Commerce Dept order from June threatens the availability of Census data including the American Community Survey. So it may become a lot harder to understand health coverage trends. My colleague Aubrianna Osorio explains: ccf.georgetown.edu/2026/07/30/c...
From my colleagues Nancy Kaneb and @ewburak.bsky.social Early Childhood Educators Still Need Medicaid – Now More than Ever ccf.georgetown.edu/2026/07/31/e...
Early Childhood Educators Still Need Medicaid – Now More than Ever
Our brief on the critical role Medicaid plays for the early childhood education workforce has been re-published with new 2024 data, resources, and implications from the past year of federal actions, w...
ccf.georgetown.edu
New Trump Administration Medicaid policies go beyond what the 2025 Republican reconciliation law requires, deepening coverage losses, limiting access to care, and increasing pressure on state budgets. www.cbpp.org/blog/adminis...
Administration Policies Go Beyond 2025 Republican Reconciliation Law, Deepening Its Harm
Recent policies from the Centers for Medicare & Medicaid Services (CMS) on the Medicaid work requirement and approaches states use to finance their Medicaid programs, pay their providers, and innovate...
cbpp.org
Trump Admin still trying to deny that its signature legislation - H.R. 1 - made the largest #Medicaid cuts in history and will increase the number of uninsured by millions. www.statnews.com/2026/08/04/r...
Kennedy and Oz call Medicaid cuts ‘myths.’ It’s more complicated than that
Kennedy and Oz say Medicaid isn't being cut. But state Medicaid directors say new policies are likely to cause many people to lose coverage.
statnews.com
“It’s like you’re in fight mode...The stress is high. The anxiety is high. And then all of a sudden, ‘Oh, it’s magically better.’ But then you’re trying to come down off of it … and you’re like, ‘Well, what’s going to happen the next time?’” indianacapitalchronicle.com/2026/08/04/p... #Medicaid
'Powerless': Indiana families describe the toll of losing Medicaid access • Indiana Capital Chronicle
Indiana families describe delayed care, confusion and financial strain as Medicaid coverage lapses ripple across the state's health system.
indianacapitalchronicle.com
"No additional staff have been hired to help with the implementation of the new Medicaid requirements as the state grapples with a budget crisis." nebraskapublicmedia.org/en/news/news...
Nebraska becomes first state to disenroll Medicaid recipients under new work requirements
The first work requirement-related disenrollments begin in Nebraska on Saturday. While the state Medicaid director estimates this will impact 200 Nebraskans, advocates are concerned that the number wi...
nebraskapublicmedia.org
In the face of the child hunger crisis unfolding in plain sight, Chair Boozman’s farm bill proposal falls short on SNAP, despite including a step in the right direction, and further changes are needed before the legislation moves forward.
This has not received enough attention but a Commerce Dept order from June threatens the availability of Census data including the American Community Survey. So it may become a lot harder to understand health coverage trends. My colleague Aubrianna Osorio explains: ccf.georgetown.edu/2026/07/30/c...
Change to Census Data Processing Methods Threatens Health Policy Research and Federal Data Systems
On June 4, 2026, the Commerce Department issued Department Administrative Order (DAO) 216-26, Disclosure Avoidance for Statistical Products, which bans a class of privacy techniques called “noise infu...
ccf.georgetown.edu
My CCF colleague Andy Schneider on the latest developments in CMS' ongoing efforts to withhold federal #Medicaid funding from California and Minnesota: ccf.georgetown.edu/2026/07/29/w...
Weaponizing Fraud Against Medicaid in California and Minnesota: Another Quarter, Another Round of Deferrals
At a July 21 press conference, CMS Administrator Mehmet Oz announced that his agency was deferring payment of $1.1 billion in federal Medicaid matching funds to California and Minnesota “pending revie...
ccf.georgetown.edu
HAPPY BIRTHDAY Medicare and Medicaid! 61 years ago President Johnson signed the Medicare/Medicaid legislation in Independence, MO, the hometown of President Harry Truman. For decades Medicare and Medicaid has provided crucial access to affordable coverage to those needing it.
New: Judge denied request from blue state AGs for a preliminary injunction to hold up parts of the Medicaid work requirement, but put the case on an expedited schedule and made clear that his ruling doesn’t pertain to the merits of the case Ruling here: storage.courtlistener.com/recap/gov.us...
Order on Motion for Preliminary Injunction – #94 in Commonwealth of Massachusetts v. Oz (D. Mass., 1:26-cv-12962) – CourtListener.com
Judge Richard G. Stearns: ORDER entered denying 2 Motion for Preliminary Injunction. (RGS, law3) (Entered: 07/29/2026)
storage.courtlistener.com
More and more uninsured patients are seeking care in emergency rooms and clinics, having lost their coverage under the Affordable Care Act after congressional Republicans ended enhanced federal subsidies. Many are unable to pay hospital bills.
After Obamacare Cuts, Hospitals Are Treating More Uninsured Patients
More people who lost coverage after congressional Republicans ended enhanced federal subsidies are now seeking care in emergency rooms and unable to pay bills.
nyti.ms
“The Trump administration has effectively shut down most of the Agency for Healthcare Research and Quality’s activities, closing the spigot on federal funding estimated to have saved thousands of lives and billions of dollars over the past 27 years by improving medical practice.”
Little Lobbyists@littlelobbyists.com · last wk.Trump Has Quietly Throttled an Agency Devoted to the Safety of American Healthcare kffhealthnews.org/news/ahrq-fu...
Trump’s changes to SNAP and Medicaid, including new eligibility and work requirements, are poised to cost states billions and have heightened fears that more Americans will lose access to the nation’s safety net. Visit our dedicated trend page for more.
Medicaid/SNAP | News From The States
The Trump administration’s tax and spending plan, signed last year, made major changes to the Supplemental Nutritional Assistance Program (SNAP) and Medicaid, including new eligibility and work…
newsfromthestates.com
From @ewburak.bsky.social how pregnant & postpartum #Medicaid enrollees could lose their coverage due to work reporting requirements. While they are supposed to be exempt, they could fall through the cracks and get disenrolled due to the complex/onerous process: ccf.georgetown.edu/2026/07/22/n...
From @joanalker1.bsky.social a CCF blog post on the Trump Administration finalizing its "public charge" rule which will reduce #Medicaid and CHIP enrollment among eligible children and lead to further increases in the child uninsured rate: ccf.georgetown.edu/2026/07/24/t...
Trump Administration Issues Final Public Charge Rule And Ignores Public Comments on the Harm to Children
On July 20, 2026, the U.S. Department of Homeland Security (DHS) issued final regulations lifting current rules used to determine whether an immigrant is likely to become a “public charge”. The final...
ccf.georgetown.edu
Here are CCF's public comments from Leo Cuello and me for the CMS proposed rule on #Medicaid state-directed payments which goes beyond H.R. 1 requirements to further roll back SDPs and will lead to greater reductions in access to needed care: ccf.georgetown.edu/2026/07/21/c...
CCF Comments on State Directed Payments NPRM
The Georgetown University Center for Children and Families submitted the following comments to the Center for Medicare and Medicaid (CMS) and the U.S. Department of Health and Human Services (DHHS) re...
ccf.georgetown.edu
New @georgetownccf.bsky.social blog from me on CMS's new proposed rule implementing H.R. 1's restrictions on state use of provider taxes financing #Medicaid. It explains how the rule again goes beyond H.R. 1 requirements to make cost-shifts to states even larger: ccf.georgetown.edu/2026/07/27/c...
CMS Issues New Rule Again Going Beyond H.R. 1 Requirements to Further Restrict State Use of Medicaid Provider Taxes
On July 21, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a new proposed rule that would implement two of H.R. 1’s restrictions on states’ use of provider taxes to finance their shar...
ccf.georgetown.edu
The Trump admin is in court *today* defending its new rule requiring Medicaid patients with cancer and other chronic illnesses to prove they're too sick to work to maintain their insurance. 25 states and DC are asking a judge to block the rule. www.politico.com/news/2026/07...
Trump and Democratic states clash in court over who’s too sick to work
Medicaid eligibility will soon hinge on how the government defines “medical frailty.”
politico.com
New @georgetownccf.bsky.social blog from me on CMS's new proposed rule implementing H.R. 1's restrictions on state use of provider taxes financing #Medicaid. It explains how the rule again goes beyond H.R. 1 requirements to make cost-shifts to states even larger: ccf.georgetown.edu/2026/07/27/c...
CMS Issues New Rule Again Going Beyond H.R. 1 Requirements to Further Restrict State Use of Medicaid Provider Taxes
On July 21, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a new proposed rule that would implement two of H.R. 1’s restrictions on states’ use of provider taxes to finance their shar...
ccf.georgetown.edu
CMS just issued a proposed rule implementing some of H.R. 1's #Medicaid provider tax restrictions including those targeting expansion states. These taxes are a vital Medicaid funding source for states. I'll write up a CCF blog once I have had time to go through it: www.cms.gov/newsroom/fac...
Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes Proposed Rule (CMS-2452-P) | CMS
Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes Proposed Rule (CMS-2452-P)
cms.gov
Note that this is *on top of* previous CMS deferrals of federal #Medicaid $ targeting these two states. Medicaid is the largest source of federal funding for states (63% in CA and 54% in MN) according to NASBO state budget data.
Politico@politico.com · 2w agoCMS suspends more than $1 billion in Medicaid dollars to Minnesota and California over suspected fraud
Andy Kim suggests a new health care policy: -Enroll every child in Medicaid until the age of 26 www.notus.org/healthcare/a...
Andy Kim’s Big Health Care Pitch: Enroll Every Kid in Medicaid
The New Jersey senator takes a unique, long-game approach to a top Democratic goal.
notus.org
We’ve updated our SNAP Tracker with the latest data. We estimate more than 4.5M people have lost access to SNAP since the Republican reconciliation law’s July 2025 enactment, in part due to its changes. Explore state-by-state trends: www.cbpp.org/research/foo...
SNAP Tracker: People Are Losing Food Assistance as the Harmful 2025 Republican Reconciliation Law Is Implemented
SNAP participation nationwide fell by more than 4.5 million people (nearly 11 percent) between the law’s July 2025 enactment and April 2026, based on the latest month of data.
cbpp.org
Computer system problems foreshadow trouble as states prepare to roll out the most significant and complicated changes to their Medicaid programs in years. https://kffhealthnews.org/health-industry/deloitte-medicaid-eligibility-system-denials-michigan-trump-policy-piles-on/
A Deloitte-Run System Denied Medicaid Benefits for Michigan’s Disabled. Now Trump’s Law Piles On. - KFF Health News
Complex computer systems that decide whether people, including the disabled, get Medicaid benefits have a history of errors. Now changes to comply with Trump’s signature tax and domestic policy law ar...
kffhealthnews.org
Doctors worry they’ll get pulled into proving that some Medicaid enrollees are “medically frail,” or too sick or disabled to be subject to the program’s new work rule, and they aren’t happy about it. kffhealthnews.org/medicaid/med...
Doctors ‘Cringe’ at Possibility of Documenting Which Medicaid Enrollees Too Sick To Work - KFF Health News
Final regulations on Medicaid work requirements say enrollees must regularly obtain documentation — possibly from medical professionals — to prove that they’re too sick to work. Doctors say the rules ...
kffhealthnews.org