Pending CMS Guidance on Medicaid Block Grants: Executive Overreach Strikes Again—Center for Children and Families

It has been reported that CMS is developing guidance to encourage states to pursue a new “block grant” or “per capita” cap on federal Medicaid funding through Section 1115 waiver requests. And sure enough, this “Dear State Medicaid Director” letter has appeared on the Office of Management and Budget’s website signaling that it is under review by the White House. For a...

The Medicaid Cap: “Carving Out” Medically Complex Kids Won’t Protect Them

"The Senate Leadership is reportedly including a cap on federal Medicaid payments to states in its version of legislation to “repeal and replace” the ACA.  That cap will apparently look a lot like the cap that narrowly passed the House in early May, but with some tweaks to accommodate concerns of individual Senators. One tweak under consideration has to do with “carving out” medically...