Front Page

The Better Care Reconciliation Act (BCRA) is being considered under a special legislative process known as budget reconciliation, which limits debate and allows a bill to pass with a simple majority. Reconciliation rules include the Byrd Rule requiring that bills passed through this process only include changes that directly affect the federal budget. On July […]

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  • Publications

    Individuals experiencing homelessness are disproportionately impacted by chronic medical and behavioral health conditions, and many of these individuals lack health insurance or a usual source of care. State Medicaid agencies and safety net providers are important partners in meeting the medical, behavioral health, and social service needs of individuals and families experiencing homelessness. In this […]

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  • July 25, 2017 House and Senate Bills, ACA Comparison Chart (Updated) Blog: BCRA and the Byrd Rule Today, the Senate is expected to vote on a motion to bring a health care bill to the floor for debate. While it is yet uncertain which bill will be brought forward (the American Health Care Act, the […]

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  • State Health Policy Blog

    This week, the Senate released two bills as part of its efforts to repeal the Affordable Care Act (ACA): A revision to the Better Care Reconciliation Act (BCRA) eliminating the “Ted Cruz Amendment” which provided funding to create coverage alternatives for high-risk individuals (see our revised chart) and; The Obamacare Repeal Reconciliation Act (ORRA), a […]

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    July 21, 2017 | Filed under: ACA, Blog Posts, Front Page, State Health Policy Blog
  • State Health Policy Blog

    State leaders know that low-income and vulnerable populations often need services and supports outside the scope of a single state agency—or a single funding stream—to live healthy lives. In some states, braiding or blending funding streams lends programs a measure of flexibility, efficiency, and resiliency that a single source of funding might not. In the […]

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  • State Health Policy Blog

    States are searching for new and innovative approaches to handle the rising cost of prescription medicines – both the sudden spike in spending that comes with a new high-cost treatment and the ongoing challenges of regular, inexplicable, price hikes for all covered drugs. The United States has the highest prescription drug prices in the world. […]

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  • On Monday, July 10th, the Centers for Medicare and Medicaid Services (CMS) released a tally of issuer submissions to offer individual market coverage through the Federally-facilitated Exchange. The National Academy for State Health Policy (NASHP) conducted an analysis of preliminary rate filings for states that have opted to run a State-based Exchange (SBE), finding that […]

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  • State Health Policy Blog

    As Congress debates the future of the ACA and Medicaid funding, one question looms large: What will proposed changes mean to state budgets that are already under significant pressure? On July 6th, after protracted wrangling, Illinois enacted its first budget in two years. Maine and New Jersey experienced brief shut downs and Washington narrowly avoided […]

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    July 12, 2017 | Filed under: ACA, Blog Posts, Front Page, State Health Policy Blog
  • State Health Policy Blog

    State health policymakers are increasingly acknowledging housing as a key component of health, and are weaving housing strategies into their broader health system transformations. States have powerful levers at their disposal and a range of funding streams that they can bring to bear to support integrated health and housing, while local public housing authorities also […]

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  • State Health Policy Blog

    Poor birth outcomes, such as pre-term birth, carry substantial human and financial costs and are generally influenced by women’s health and socioeconomic factors such as race, ethnicity, income, health care access, and education. According to the Institute of Medicine, the cost associated with pre-term birth in the U.S. is $26.2 billion each year, with Medicaid […]

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