Topic
Medicaid
54 stories related to this topic, newest first.
Forbesfinance10 hrs ago
Medicaid Work Requirements Begin January 2027 for 20 Million Adults
An interim final rule published June 1 converts the work-requirements section of the 2025 One Big Beautiful Bill Act into policy. Starting January 1, 2027, non-pregnant adults ages 19-64 in the ACA Medicaid expansion population must document 80 hours of qualifying activity each m…
cnbc.comworld13 hrs ago
States Consider Identifying Employers With Medicaid Workers as Federal Work Requirement Takes Effect
With the Trump administration's January deadline approaching for states to enforce federal Medicaid work requirements, lawmakers in California and other states are advancing measures to name or penalize large companies whose workers rely on the program. The moves follow enactment…
science1 day ago
States Reduce Family Caregiver Pay; Medicaid Faces $1 Trillion Cut
@statnews reported that at least half a dozen states are reducing payments to family caregivers of people with intellectual and developmental disabilities as they prepare for major Medicaid reductions. Separate items covered a pancreatic cancer drug trial and a planned HHS meetin…
washingtonpost.comscience1 day ago
Several states propose wage cuts for family caregivers under Medicaid self-direction programs
Maryland, Idaho, Indiana, Missouri, and Colorado have introduced 2026 proposals to reduce hourly pay for family members providing Medicaid-funded care. The changes follow a $1 trillion federal Medicaid funding reduction scheduled to take effect January 1, 2027.
winnipegfreepress.compolitics4 days ago
New York ranks near bottom in Medicaid fraud prosecutions per spending
An analysis by the Empire Center for Public Policy placed New York 49th among states for criminal Medicaid fraud investigations per billion dollars spent during 2019-2025. The state also ranked 51st for indictments and convictions per billion dollars.
abcnews.go.compolitics7 days ago
Federal Restriction on Funds to Abortion Providers Lifted; Billing Resumes
Planned Parenthood and two smaller providers restarted Medicaid billing for non-abortion services on Sunday after the payments were halted for most of a year under a federal law. Some clinics closed and patient volumes fell during the cutoff, though not every service will return.
abcnews.go.comworld7 days ago
Planned Parenthood and Two Providers Resume Medicaid Billing for Non-Abortion Services
Planned Parenthood and two smaller providers reinstated Medicaid billing on Sunday after nearly a year of cuts mandated by a 2025 federal law. The change follows clinic closures and reduced services in multiple states.
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abcnews.go.compolitics8 days ago
Planned Parenthood Resumes Medicaid Billing for Non-Abortion Services After Federal Cutoff
Planned Parenthood and two smaller providers restarted Medicaid billing for non-abortion care on July 5 following a funding cutoff required by a 2025 federal law. The interruption produced nearly 30 clinic closures and measurable drops in contraceptive and cancer screening servic…
vox.comscience7 days agoUpdated
Planned Parenthood Affiliates Resume Medicaid Billing for Non-Abortion Services
Clinics affiliated with Planned Parenthood and two smaller providers began billing Medicaid again on July 5 for non-abortion services after a one-year federal restriction lapsed. The restored access returns a revenue stream that previously exceeded $800 million annually for Plann…
winnipegfreepress.compolitics11 days ago
New Jersey Approves Fee on Employers With Medicaid-Covered Workers
New Jersey will charge companies with at least 50 workers on Medicaid up to $725 per person annually, expecting $145 million in revenue this year. California and several other states are considering similar measures.
world12 days ago
MassHealth Ends Medicaid Coverage of GLP-1 Drugs for Weight Loss
MassHealth will stop paying for GLP-1 medications prescribed solely for weight loss starting Friday. The change affects roughly 22,000 adults and 2,500 children enrolled in the state Medicaid program.
propublica.orgworld12 days agoUpdated
Federal Authorities Investigate Possible Fraud at New York Medicaid Daycare Centers Amid 390% Rise in Billed Seniors
Federal authorities are examining potential fraudulent activity at some Medicaid-funded social adult daycare centers in New York state. A data analysis showed billings in Flushing, Queens, rose sharply while the eligible senior population grew modestly.
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news.google.compolitics13 days ago
New York adult daycare centers bill Medicaid for 390% more seniors since 2018
A CBS News analysis found 64 Medicaid-funded adult daycare centers within one mile in Flushing, Queens. Statewide spending on the centers rose nearly fourfold from 2018 to 2024, prompting federal and state investigations into possible fraud.
abcnews.go.compolitics14 days ago
25 States and D.C. Sue to Block Federal Medicaid Work Requirements
A group of 25 states and the District of Columbia filed suit Monday in federal court in Massachusetts. The complaint challenges a Centers for Medicare and Medicaid Services rule that imposes work requirements on Medicaid beneficiaries.
science14 days agoUpdated
25 States and D.C. Sue Over Federal Rule Defining Medical Frailty for Medicaid Work-Requirement Exemptions
Democrat-led states filed suit Monday in Massachusetts federal court challenging a CMS interim final rule that narrows exemptions from new Medicaid work requirements for medically frail people. The rule, issued earlier this month, takes effect in January under the One Big Beautif…
Statscience15 days ago
26 States Sue Federal Government to Block Medicaid Work Requirements
Twenty-six states filed suit Monday seeking to halt work requirements for Medicaid enrollees that were included in a federal tax measure. Five New England states joined the challenge, arguing the rules create excessive administrative barriers.
cnet.comworld17 days ago
New York Medicaid Fraud Recoveries Fell to $31 Million in 2024 as Program Spending Rose to $70 Million
Republican candidate Saritha Komatireddy cited annual reports showing a drop from $168 million in 2019. She pledged to add prosecutors if elected attorney general.
Statscience21 days ago
Trump Administration Memo Says Disability Integration Rule Is Not Legally Binding
The Department of Justice Office of Legal Counsel memo states that the integration mandate from the 1999 Olmstead decision does not require community placement for people with severe disabilities. It was written in response to White House questions and signals a shift in federal…
Nprscience24 days ago
Justice Department Memo Says Federal Law Does Not Require States to Provide Community Care for Disabled Americans
A new Office of Legal Counsel opinion reverses decades of federal enforcement under the Americans with Disabilities Act and the Rehabilitation Act. Disability advocates say the change removes a key barrier to institutionalization.
New York Postpolitics24 days ago
Federal suit filed over 2024 home-care payroll contract in New York
The Justice Department filed a lawsuit last week alleging bid-rigging in a state program that pays home-care aides. The suit targets a 2024 plan to consolidate payroll services for roughly 240,000 workers under an $11 billion Medicaid-funded program.
newser.comscience27 days ago
Justice Department Sues New York Over Medicaid Home Care Contract
The Justice Department filed suit Tuesday alleging a Georgia company used a sham bidding process to win a $10 billion New York Medicaid home care program and then improperly took millions in profits. New York officials called the complaint baseless and said the consolidation save…
cnet.compolitics27 days agoUpdated
Justice Department Sues New York Over Alleged Medicaid Fraud in Home Care Program
The U.S. Justice Department filed a civil lawsuit accusing New York state officials and a contractor of facilitating fraud in a $10 billion Medicaid home care program. The suit claims the contractor used a sham bidding process and inflated rates, generating millions in illegal pr…
kff.orgworld33 days ago
New Medicaid guidance tightens medical frailty exemption for work requirements
Updated federal rules require Medicaid expansion enrollees to prove their conditions significantly impair work, school, or community service. States must verify eligibility with documentation rather than automatic exemptions based on diagnosis.
abcnews.go.comscience33 days ago
New Medicaid Work Rule Narrows Medical Frailty Exemption
The Centers for Medicare and Medicaid Services issued an interim final rule last week requiring Medicaid expansion enrollees seeking medical frailty exemptions to show their condition significantly impairs work, volunteer, or school activity. States must verify claims with docume…
Washington Examinerpolitics35 days ago
Minnesota Revalidates 2,000 Medicaid Providers, Disenrolls Over 3,000 High-Risk or Inactive Ones to Meet Federal Rules
State officials disenrolled more than 3,400 providers after a federal review prompted by a threatened $2 billion funding cutoff. The Trump administration had required cleanup of enrollment records to restore oversight confidence.
vtdigger.orgpolitics36 days ago
House Committee Launches Probe Into Potential Medicaid Fraud, Demands Records From 11 States
The committee is investigating potential fraud while the Centers for Medicare and Medicaid Services withholds payments to states under review. President Trump named Vice President JD Vance as the administration’s anti-fraud czar.
Fox Newspolitics38 days ago
Pennsylvania Attorney General reports state led U.S. in Medicaid fraud convictions for 2025
Pennsylvania Attorney General Dave Sunday said the state recorded the most Medicaid fraud convictions nationwide last year. He credited aggressive investigation, cross-office collaboration, and recovery of $4.64 for every dollar spent.
pbs.orgworld39 days ago
Nebraska Begins Medicaid Work Requirements Eight Months Ahead of Federal Deadline
Nebraska became the first state to implement new federal Medicaid work requirements on May 1. The rules require most expansion enrollees to document 80 hours of work, school, or community service each month or lose coverage starting in 2027.
kff.orgscience40 days ago
CMS Tightens Medical Frailty Exemption Process in Medicaid Work Requirement Rule
The Centers for Medicare and Medicaid Services issued an interim final rule on Monday that narrows the medical frailty exemption and adds new attestation requirements for patients seeking to avoid work reporting rules under the One Big Beautiful Bill Act.
The Hillscience41 days ago
CMS Releases 400-Page Federal Rule Implementing Medicaid Work Requirements
The Centers for Medicare and Medicaid Services released a nearly 400-page rule on June 3, 2026, directing states on Medicaid work requirements. The rule tightens the medical frailty exemption.
world42 days ago
CMS Issues Rule Requiring 80 Hours of Monthly Work for Some Medicaid Adults, Projected to Save $326 Billion but Cost States in Implementation
The Centers for Medicare & Medicaid Services issued an interim final rule on Monday requiring some adults on Medicaid to work 80 hours per month. States must implement the requirement by Jan. 1, 2027.
techjuice.pkworld43 days ago
Federal Warehouse in Southern California Stores Luxury Cars and Memorabilia Seized in Fraud Investigations
Federal authorities displayed dozens of luxury vehicles and collectibles recovered from fraud schemes. The items illustrate efforts to recover funds lost to Medicare and Medicaid fraud under the current administration.
techjuice.pkworld43 days ago
Federal Warehouse Stores Luxury Cars and Memorabilia Seized in Major Fraud Cases
CBS News reported that a secret Southern California warehouse stores dozens of Ferraris, Lamborghinis, and sports memorabilia seized in federal fraud investigations. Officials said recovery of stolen funds remains difficult as the Trump administration targets Medicare and other p…
fastcompany.combusiness43 days ago
Medicare to Offer Weight-Loss Drugs for $50 Monthly Starting in July
Medicare will begin covering Wegovy and Zepbound for weight loss at $50 per month for older adults in July. The agency has not disclosed the projected cost to taxpayers.
Fox Newsworld46 days ago
Ohio Candidate Outlines Plan to Address Medicaid Fraud
Republican nominee Vivek Ramaswamy discussed Medicaid fraud and a three-part plan during a Ruthless Podcast interview. He cited spending growth and improper payments over the past decade.
Fox Newspolitics47 days ago
Florida Senator Introduces Bills Targeting Medicaid and Student Aid Fraud
Sen. Ashley Moody has introduced three bills aimed at expanding investigations and penalties for federal fraud in Medicaid and student aid programs. The measures are intended to support administration efforts to recover funds lost to improper claims.
Fortunefinance47 days ago
U.S. Uninsured Rate Held at 8 Percent in 2025
CDC survey data show the national uninsured rate remained near 8 percent throughout 2025. Congressional Budget Office and KFF projections indicate enrollment changes beginning in 2026.
Bipartisan Policy Centerpolitics49 days ago
CMS Releases Updated Strategic Priorities at May 20 Event
The Centers for Medicare and Medicaid Services presented four strategic priorities during a May 20, 2026, discussion hosted by the Bipartisan Policy Center. The agency oversees coverage for more than 160 million Americans through Medicare, Medicaid, and the federal exchanges.
Statscience50 days ago
Federal Government Approves $8 Billion in Extra Medicaid Funds for Florida Hospitals
The Centers for Medicare and Medicaid Services approved nearly $8 billion in supplemental payments for care delivered between October 2024 and September 2025. The funds were authorized by both federal and state officials and will go to hospitals in Florida.
foxnews.comworld54 days ago
Minnesota Daycare Owner Charged in Federal Benefits Fraud Case
Federal prosecutors charged a Minneapolis daycare owner with conspiracy to defraud the United States. The case adds to a series of fraud charges involving multiple Minnesota state-administered programs.
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Propublicaworld55 days ago
ProPublica and Lexington Herald-Leader Seek Former Clients and Staff Accounts of Addiction Recovery Care
ProPublica and the Lexington Herald-Leader are collecting experiences from current and former clients and staff of Addiction Recovery Care. The organizations previously reported on billing allegations involving Kentucky Medicaid.
Nbc Newsworld59 days ago
Medicaid Cuts Reduce Pay for Family Caregivers in Maryland
A Maryland Medicaid program that pays family members to care for relatives with developmental disabilities will reduce wages and cap paid hours starting July 1. The changes follow a $126 million cut to programs for people with developmental disabilities.
Fox Newspolitics60 days ago
Trump Administration Requires States to Strengthen Medicaid Provider Revalidation
The Trump administration announced on April 21 that states must develop stronger plans to review Medicaid providers through revalidation every five years. The process checks licenses, compliance with laws, exclusion lists and identity verification to reduce improper payments esti…
Nbc Newsscience60 days ago
Medicaid Funding Reductions Affect Family Caregivers in Maryland
A federal spending package signed by President Donald Trump last year is projected to reduce Medicaid funding by about $1 trillion over the next decade. Maryland has already cut $126 million from programs for people with developmental disabilities, reducing wages and hours for fa…
pbs.orgpolitics60 days ago
U.S. Halts Some Medicaid Payments Citing Fraud
The federal government has stopped certain Medicaid payments after identifying what it described as fraud in the program. Vice President JD Vance addressed the issue during a speech in Maine, stating that only Republicans would address fraud in public benefits programs. The move…
abcnews.go.comworld61 days ago
Vice President Vance Says He Likes Idea of Sending Medicaid Fraudsters to Guantanamo
Vice President Vance responded to an audience suggestion during a speech in Maine on Thursday by saying he "kind of likes" the idea of sending people who commit Medicaid fraud to "Gitmo." The remark came as he discussed efforts to reduce government waste and fraud. The event focu…
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theconservativetreehouse.compolitics61 days ago
Trump Administration Defers $1.3 Billion Medicaid Payment to California
Vice President JD Vance announced on May 13, 2026, that the federal government is deferring $1.3 billion in Medicaid reimbursements to California, citing the state's failure to combat fraud. The action is part of a broader anti-fraud initiative that also suspends roughly 800 hosp…
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sixthtone.comscience62 days ago
Patient Groups Seek Exemptions From Medicaid Work Requirements
Patient advocacy organizations are requesting automatic exemptions from new Medicaid work requirements for people with HIV and sickle cell disease. Federal officials must issue implementation guidance to states by June 1 with a deadline for states to enact the changes by Jan. 1.…
azernews.azscience63 days ago
States Prepare Medicaid Work Requirements as Patient Groups Seek Exemptions for Chronic Illnesses
Patient advocates for sickle cell disease and HIV are pressing federal officials for automatic exemptions from new Medicaid work rules included in President Trump’s tax cut bill. Federal guidance is due by June 1 with states required to implement systems by Jan. 1. The accelerate…
insidermonkey.compolitics73 days ago
Nebraska Adds Work Requirements for Medicaid
Nebraska has become the first U.S. state to enforce new federal Medicaid work requirements under President Trump's recent tax and spending bill. The policy mandates 80 hours per month of work or approved activities for able-bodied adults aged 19 to 64 without dependents. Estimate…
AB
thenation.compolitics73 days ago
Nebraska Implements Work Requirements for Medicaid
Nebraska implemented work requirements for certain Medicaid enrollees starting May 1, becoming the first state to do so under a federal law mandating such rules by 2027. The policy affects about 70,000 people and includes exemptions for health conditions and caregiving. Officials…
medpagetoday.compolitics73 days ago
Trump Imposes 25% Tariffs on EU Vehicles; Nebraska Approves Medicaid Work Requirements
President Trump announced an increase in tariffs on cars and lorries imported from the European Union to 25% from 15%, effective next week, accusing the bloc of non-compliance with a deal struck last summer. Separately, Nebraska became the first state to enact work requirements f…
Nbc Newsfinance76 days ago
Nebraska Becomes First State to Enforce Medicaid Work Requirements, Ahead of 2027 Federal Deadline
Nebraska became the first U.S. state to roll out Medicaid work requirements on Friday, affecting an estimated 72,000 residents. The policy, mandated under President Donald Trump's bill, requires able-bodied adults to prove 80 hours of work or exemptions monthly. Around 25,000 enr…
WA
medium.comworld80 days ago
Johnson & Johnson Adds Four Drugs to TrumpRx Discount Site Following Voluntary Agreement
Johnson & Johnson will begin marketing four medications on the Trump administration's TrumpRx website on Friday. The move follows a voluntary agreement announced in January that provides Medicaid access to affordable prescriptions in exchange for tariff exemptions. The addition m…