California County Organized Health System and Three Health Care Providers Agree to Pay $70.7 Million for Alleged False Claims to California’s Medicaid Program
“Federal health care funds are not intended to serve as a blank check,” said Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department’s Civil Division. Medicaid is a taxpayer-funded program that exists to help patients afford health care, and it never should be used to line the pockets of health care providers through fraudulent schemes.”“Medicaid expansion programs were created to ensure access to coverage for those in need of health care services. “HHS-OIG will not hesitate to investigate and pursue all forms of health care fraud.”“Medi-Cal props up our communities by providing access to free or affordable health care services for millions of Californians and their families. Those who attempt to cheat the system are cheating our communities of essential care,” said California Attorney General Rob Bonta. The investigation and resolution of this matter illustrates the government’s emphasis on combating health care fraud.justice.gov
Florida to bar Medicaid coverage for those seeking gender-affirming care
AdvertisementBrock Juarez, a spokesman for the Florida’s Agency for Health Care Administration, the agency overseeing the state’s Medicaid program, did not immediately return requests for comment. Gender-affirming care can, but does not always, include medical interventions. In April, 300 medical providers in the state wrote an open letter in the Tampa Bay Times criticizing the state’s guidance against gender-affirming care. An estimate from a 2019 study by the Williams Institute at UCLA School of Law showed there were about 9,000 people receiving gender-affirming care each year in Florida. AdvertisementMike Haller, a professor and chief of pediatric endocrinology at the University of Florida, said the decision to bar people from using Medicaid to cover gender-affirming care was “cruel and unusual punishment” for patients seeking safe, evidence-based care.washingtonpost.com
State, feds say six-month maternal Medicaid coverage still under review
HHSC said it was initially told the plan was “not approvable.” Federal Centers for Medicare and Medicaid Services issued a statement Friday saying Texas’ plan to extend coverage to six months was not rejected but still under review.
California first to cover health care for all immigrants
California on Thursday became the first state to guarantee free health care for all low-income immigrants living in the country illegally, a move that will provide coverage for an additional 764,000 people at an eventual cost of about $2.7 billion a year. Gov. Gavin Newsom signed a $307.9 billion operating budget that pledges to make all low-income adults eligible for the state's Medicaid program by 2024 regardless of their immigration status. It’s a long-sought victory for health care and immigration activists, who have been asking for the change for more than a decade.news.yahoo.com
The Legal Obstacle to Federal Abortion Efforts After Supreme Court’s Roe v. Wade Ruling
A new public policy issue -- whether the federal government can find ways to help Americans access abortions now that Roe v. Wade has been overturned -- is running up against a long-time restriction on federal dollars. The Hyde Amendment, first enacted 45 years ago, and related provisions restrict the use of federal funds for abortions. It’s emerged as an obstacle to efforts to maintain abortion services for women in states that outlaw the procedure.washingtonpost.com
U.S. Supreme Court rules for Florida, against victim in dispute over Medicaid funding
Nearly 14 years after a Lee County girl was catastrophically injured when she was hit by a truck, the U.S. Supreme Court on Monday said Florida’s Medicaid program can recoup a chunk of the money it paid for her initial care.news.yahoo.com
Letters: Promote Medicaid
Whether we’re Black, White or Brown, mothers do what it takes to keep our families safe and cared for. As a Medicaid ambassador at La Unión del Pueblo Entero, I work with Latino immigrant mothers. I help them understand that Medicaid can help them give their family the care they need. But too many of the mothers I work with decide not to sign up for Medicaid or any other public program. As a Medicaid ambassador, I help them overcome these fears.myrgv.com
Illinois lawmakers approve sweeping changes to nursing home funding meant to increase staffing and improve care
Responding to long-standing problems that were made worse by the COVID-19 pandemic, a bill approved late Thursday would increase payments to nursing homes and tie much of the increase to staffing levels and quality of care.chicagotribune.com
Analysis: Texas gets a respite on Medicaid, but not a cure for the uninsured
Texas got a temporary reprieve on Medicaid funding from the federal government. But that won’t solve underlying problems with high numbers of uninsured Texans and the plight of hospitals in the state — especially those in rural areas.
The end of the pandemic could usher in a spike in the uninsured rate
Democrats who hoped they'd have transformational new health legislation in place by next year could instead be facing one of the largest increases in the U.S. uninsured rate in recent history.Why it matters: Temporary pandemic-era reforms to Medicaid and the Affordable Care Act marketplaces caused enrollment in each to swell, but these policy changes are due to end soon, and millions of people could lose their health coverage.Stay on top of the latest market trends and economic insights with Axinews.yahoo.com
Texas Medicaid rolls grew by more than 1 million people during the pandemic – Houston Public Media
An emergency pandemic policy under the Trump and Biden administrations has led to more people covered by Medicaid in Texas, a state that has long refused to expand coverage. But it's unclear how long those protections will last.houstonpublicmedia.org
Texas lawmakers split over how long to extend Medicaid health coverage for new mothers
Maternal health advocates said the bill — originally pitched as a one-year extension — could reduce the state’s maternal mortality rate and offer vital help to mothers grappling with conditions like postpartum depression or health complications in the months after giving birth.
New Texas lawsuit accuses Biden administration of threatening state’s health care funding to force Medicaid expansion
Texas Attorney General Ken Paxton’s lawsuit, filed Friday, argues that the Trump-era extension of the federal 1115 Medicaid funding waiver was lawful and that overturning it was a political move.
Despite high rate of teen pregnancies, Texas lawmakers unlikely to expand Children’s Health Insurance Program to cover birth control
Her medical insurance at the time was provided by the Texas Children’s Health Insurance Program, known as CHIP, which provides health care to adolescents whose families are low-income but make too much to qualify for Medicaid. CHIP provided coverage for her medicine, doctors appointments and other medical needs but unlike Medicaid, it typically does not cover the cost of birth control — something that Johnson needed to regulate her menstrual cycle.
Medicaid expansion for uninsured Texans had bipartisan support, but lawmakers won’t pass it this session
Sonia Wood, a certified pediatric nurse practitioner, treats a patient at Carousel Pediatrics in Austin. Three million children are currently on Medicaid, but most of their parents do not qualify. Credit: Spencer Selvidge for the Texas Tribune
Texas House votes down budget amendment aimed at giving health coverage to more uninsured Texans
The Texas House on Thursday rejected an attempt to direct the governor and state health officials to use billions in federal dollars to expand health care coverage for uninsured Texans, including working poor who earn too much to qualify for Medicaid but too little to afford their own health insurance.