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Tags Posts tagged with "Trump Administration"

Trump Administration

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The passage of the “One Big Beautiful Bill Act” has made significant changes to Medicaid, the Children’s Health Insurance Program, and Medicare, with strict requirements to maintain Federal support and criteria to qualify and maintain enrollment in Federal healthcare programs. There are several key provisions that will result in hundreds of thousands of Pennsylvanians losing access to healthcare:

  • “Community Engagement” Requirements which will require able-bodied adults to study, work, or volunteer for a minimum of 80 hours per month for expansion enrollees aged 19 – 64.
    • There are exceptions to these work requirements for people who are: enrolled in Medicare; incarcerated (and for 90 days following incarceration); pregnant or receiving postpartum coverage; Urban and California Indians; are caretakers of dependents under the age of 14; veterans with a total disability rating; are “medically frail”; participate in SNAP and are not exempt from its work requirements; or who have a substance use disorder or a disabling mental disorder (though neither of those exemptions are clearly defined). In addition, individuals who are participating in a drug or alcohol treatment and rehabilitation program (as defined in section 3(h) of the Food and Nutrition Act [FNA] of 2008) are exempt. However, FNA defines drug addiction or alcoholic treatment and rehabilitation programs as “any such program conducted by a private nonprofit organization or institution.” With no clear guidance at this point on how an individual is determined to qualify as having an SUD, the definition of drug addiction or alcoholic treatment and rehabilitation program could be an issue for for-profit providers.
    • States may request an exemption for 2027 and 2028 if they show a “good faith” effort to implement the program.
  • Limits to certain non-citizen access to federal health services, which will prevent certain individuals from enrolling in or receiving Medicaid or CHIP benefits. Medicaid will no longer be available to refugees, asylees, victims of trafficking, or other people under temporary protected status, with certain exceptions.
  • Eligibility redeterminations must be made every six months for Expansion enrollees. Individuals who are exempt from the community engagement requirements are also exempt from the bi-annual eligibility redeterminations.

Additional Resources:

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The Senate today approved the “Big Beautiful Bill” with the collateral impact of taking away health care from hundreds of thousands of Pennsylvanians. The bill will now return to the House for a final vote before it goes to the President’s desk for signature and approval. The House is expected to act quickly.

The Senate bill makes even more drastic cuts to health coverage than the House version, totaling over $1 trillion, including Medicaid. Millions of Americans will lose access to health care; specifically, these cuts will take away health care from more than 600,000 Pennsylvanians and could double health insurance premiums for many more. In addition, the bill adds trillions to the growing Federal deficit by way of sizable tax cuts.

This will deeply impact our most vulnerable individuals and families that our members serve in the Commonwealth. We must act now to save access to health care. Find your legislator and their contact information here to let them know that you do not support the passage of the “Big Beautiful Bill.”

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Earlier this week, the Senate Parliamentarian advised lawmakers that several provisions in the budget reconciliation bill will not be able to pass with a simple majority vote. This includes the Senate’s proposed reductions to state provider taxes that were expected to result in billions of cost savings to the federal government. Senate Republicans now have several options to consider before moving forward, including removing key Medicaid provisions in the bill or re-drafting and re-submitting them to try to earn Parliamentarian approval. Other policies that were ruled unallowable under the Byrd Rule included the exclusion of specific groups of immigrants from Medicaid and withholding federal funds from states that use their own funds to provide coverage.

Senators are expected to vote in the coming days. While Pennsylvania Federal legislators are hearing the message from RCPA and other state associations, they are hearing very little from the constituencies in their home districts.

To assist with outreach and to help tailor the letter provided above, National Council and RCPA have provided additional resources below:

  • Find your US legislators here.
  • Call or write to your legislators here.

Your outreach TODAY is critical. If hundreds of billions of dollars are cut:

  • Millions of people are expected to lose access to lifesaving care and services;
  • Community behavioral health providers, operating on the thinnest of margins already, will face additional financial hardship; and
  • The cuts are unlikely to save any money overall because costs will simply shift to states, who will be forced to try and make up the funding difference.

Specific proposals under consideration, like mandatory work requirements and provider tax policy changes, are expected to create huge administrative burdens that are likely to result in eligible people losing their coverage, plus massive funding losses for states that could result in reduced availability of mental health and SUD services.

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