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Governing: Human Services
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6 States Hoping to Revamp Medicaid in the Trump Era


While the Republican-controlled Congress is trying to repeal the Affordable Care Act (ACA), governors on both sides of the aisle are anxiously awaiting to see what happens. In the meantime, some are trying to make their own changes to the health-care system in their state -- and have the best chance of doing so in years.

To customize their Medicaid programs, states have been able to ask the federal government for waivers for decades. The Obama administration rejected many waivers, concluding that they were unconstitutional or would drastically limit poor people's ability to afford health insurance. For example, many states sought to make employment a requirement for Medicaid, but the Obama administration declined every such request.

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Sponsor: City Accelerator

With Donald Trump in the White House and Tom Price leading the Health and Human Services (HHS) Department, conservative states will likely see their long-denied wishes come true. Both officials support giving states more flexibility than the Obama administration, and a final bill to replace the ACA would likely increase states' power as well. So in the early days of the Trump administration, some governors enthusiastically submitted waivers.

Currently, there are many waivers waiting to be decided on, including a holdover from the Obama administration. Some say that could be because there are still many federal appointee positions unfilled.

If some of these proposals get the greenlight as expected, they could drastically change the structure of Medicaid in their states and have national implications. These are the six states with planned or submitted waivers worth watching. KEEP READING >>

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Why Blue States Might Ditch Beloved Obamacare Protections

Under the Republican health bill, heavily Democratic states may be forced to dismantle key parts of the law, according to experts, regulators and consumer advocates.

Abandoning Obamacare, Aetna Withdraws From Last 2 States

The insurer said it will not offer on- or off-exchange individual plans in Delaware or Nebraska in 2018.

CMS Gives States Until 2022 to Meet Medicaid Standards of Care

The Trump administration has given states three extra years to carry out plans for helping elderly and disabled people receive Medicaid services without being forced to go into nursing homes.

Houston Steers Cities Into Reducing 'Red Lights and Sirens'

Most 911 calls don't actually require a trip to the hospital. Instead, telemedicine can do the trick, and Houston's system is catching on among the country's paramedics.

Abortion Clinics Begin Reopening in Texas

It's been nearly a year since the U.S. Supreme Court struck down regulations that led to the closure of half the state's clinics.

'Cocaine Mom' Law Dealt a Legal Blow in Wisconsin

The 1998 law lets pregnant women suspected of current or past drug or alcohol use be held in secure custody and subjected to involuntary medical treatment.

Pseudoscience Fuels Minnesota Measles Outbreak

Health officials are scrambling to contain a measles outbreak that has sickened primarily Somali-American children.

Can Raising the Minimum Wage Cut Medicaid Costs?

Pennsylvania's governor is using that logic to persuade lawmakers to adopt the nation's highest minimum wage. Not everyone is convinced.

Alaska's Plan for Lowering Obamacare Premiums Spreads to the Mainland

The idea will likely attract more attention if the Trump administration agrees to fund it.


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