Old Weekly Roundup

July 2, 2025

In Focus:

Roundup:

California Governor Signs Fiscal 2026 Budget Scaling Back Health Programs
Florida Governor Signs Fiscal 2026 Budget With Healthcare Initiatives
New York Governor Releases Master Plan for Aging Focusing on Housing, Workforce
North Carolina to Receive $150 Million Settlement from Purdue Pharma
Ohio Biennial Budget Incudes Medicaid Expansion Contingency, Reduces Program Oversight
Senate Passes One Big Beautiful Bill Act with $1 Trillion in Healthcare Cuts
CMS Releases CY 2026 Home Health, ESRD PPS Proposed Rules; Seeks 6.4 Percent Medicare Rate Cuts to Home Health Agencies
CMS to Test Prior Authorization Innovation Model in Traditional Medicare
Optum Removes Prior Authorization Mandates for More Prescription Drugs

View Roundup

June 25, 2025

In Focus:

Roundup:

Connecticut Fails to Pass Private Equity Reforms After Prospect Hospital Bankruptcy
Indiana Governor Enacts 10 Bills Aimed at Medicaid, Hospital Transparency
North Carolina House Omits Private Equity Dental Provision as Budget Negotiations Continue
Oregon Seeks Public Comment on Providence, Compassus Joint Venture
Washington Names Ryan Moran Medicaid Director
CMS Releases Final Rule Outlining New ACA Marketplace Enrollment Restrictions
Insurers Commit to Streamlined Prior Authorization by 2027

View Roundup

June 18, 2025

In Focus:

Roundup:

Iowa Submits 1115 Demonstration Request to Implement Medicaid Expansion Work Requirements
Kentucky Proposes HCBS Waiver for Youth with Complex Needs
Mississippi Finalizes $8.4 Billion Medicaid Budget with Projected Deficit for Fiscal 2026
New York Governor Announces Strengthened Medicaid Behavioral Health Parity
CMS Approves Medicaid SPAs Expanding Tribal Clinic Flexibility in Six States
Senate Finance Committee Releases Draft Budget Outlining Deeper Medicaid Cuts
Purdue Pharma, Sackler Family to End U.S. Opioid Sales Under $7.4 Billion Multi-State Agreement

View Roundup

June 11, 2025

In Focus:

Roundup:

Delaware Releases Medicaid NEMT RFP
Iowa Governor Enacts Medicaid Work Requirements
Minnesota Budget Deal Ends MinnesotaCare Coverage for Undocumented Adults
Nebraska Hospitals Form Clinically Integrated Network
North Carolina Healthy Opportunities Pilot Funding to End July 1 Amid Budget Negotiations
Senate Committee Releases Draft Provisions to One Big Beautiful Bill; House Updates Technical Lines to Comply with Senate Rules
President Trump Issues Memorandum Calling to End State Directed Payments in Medicaid
State Health Insurance Marketplace Plans Seek Large Premium Increases for 2026

View Roundup

June 4, 2025

In Focus:

Roundup:

Florida Submits Workforce Sustainability Section 1115 Demonstration Application
Idaho to Implement Comprehensive Managed Care by 2029, Seek Federal Approval for Work Requirements in 2026
Rhode Island AG Releases HMA Healthcare Capacity Assessment Report
President Trump's Budget Plan to Increase Federal Deficit by $2.4 Trillion, Leave 10.9 Million Uninsured, CBO Finds
CMCS Medicaid Director Drew Snyder Resigns
CMS to Begin New Tech Initiatives After Receiving Feedback on RFI
HHS Fiscal 2026 Budget Proposal Would Consolidate Agencies, Divisions

View Roundup

May 28, 2025

In Focus:

Roundup:

Iowa Seeks Additional Comments on 1115 Iowa Wellness Plan Demonstration Extension Request
Michigan to Release Behavioral PIHP RFP in Summer 2025
Montana Governor Enacts Medicaid Matching Ambulance Fee to Support Emergency Medical Services
CMS Tightens Oversight on Federal Medicaid Funds Used for Undocumented Immigrants
CMS Releases Updated Hospital Price Transparency Rules; Issues RFI
CMS to Conduct Annual Audits of All Medicare Advantage Plans in Oversight Expansion

View Roundup

May 21, 2025

In Focus:

Roundup:

Indiana Extends Hoosier Care Connect Contracts Through June 2028
Iowa Legislature Approves Medicaid Work Requirements Bill
New York Submits Section 1115 Demonstration Amendment to Launch Medicaid Buy-In Program
Oregon Releases PACE RFP
House Budget Committee Advances Budget Bill with Changes
HHS Implements AI Strategy to Improve Efficiency Across Health Programs
Head of Aetna Medicaid Operations Steps Down

View Roundup

May 14, 2025

In Focus:

Roundup:

Florida Legislature Passes Bill Expanding Medicaid Managed Care for Individuals with Disabilities
Indiana Passes Medicaid HCBS Diversion Bill
Iowa Senate Advances Medicaid Work Requirement Bill
Kentucky Releases Draft Work Requirements Section 1115 Demonstration
CMS Issues Proposed Rule to Close Medicaid MCO Tax
CMS Issues Draft Guidance for Third Round of Medicare Drug Price Negotiations
CMS Releases Innovation Center Agenda Prioritizing Shared Risk, Preventative Care
CMS Issues RFI on Health Information Technology to Support Medicare Beneficiaries
UnitedHealth Reinstates Stephen Hemsley as CEO; Witty Steps Down

View Roundup

May 7, 2025

In Focus:

Roundup:

Florida Senate Sends Behavioral Health Bill to Governor
Georgia Submits Application to Extend Medicaid 1115 Pathways to Coverage Demonstration
Minnesota Launches Dashboard to Track Federal Funding Disruptions
GAO Appoints Two New Members to MACPAC Through 2028
Attorneys General Sue HHS Over Layoffs, Restructuring
CareSource Pursues Lakeland Care Affiliation Ahead of Wisconsin Medicaid LTC Contract Awards

View Roundup

April 30, 2025

In Focus:

Roundup:

HMA Expert Take: TEAM Model Updates and What It Means for Hospitals
Report Analyzes Cost Impact of Preventive Care Services Potentially Affected by Braidwood
Mark Your Calendar: Registration for HMA’s 2025 Annual Conference Opens May 1
Florida Must Reimburse FQHC on Per-Patient Basis, Judge Rules
Oregon to Submit SPA to Add CCBHC Services to Medicaid
Texas Hospitals Spent $122 Million on Care for Undocumented Individuals
Most U.S. States Approve Medicaid Pilot for Sickle Cell Gene Therapies
Elevance to Halt Online Marketing for Most Medicare Advantage Plans

View Roundup