Medicaid
Latest
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States Exploit SDP Grandfathering, Driving Up Medicaid Costs
Read moreThe One Big Beautiful Bill Act (OBBBA) included important reforms to limit states’ costly use of State Directed Payments (SDPs) in the Medicaid...
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Break Glass: A Plan for the Next Economic Shock
Read moreThe U.S. has never experienced an economic shock as indebted as we are today. Recessions and other economic shocks are inevitable. Although the timing...
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CBO Projects High Federal Health Program Costs
Read moreFederal health programs will cost over $26 trillion through 2036, under the Congressional Budget Office (CBO) baseline, making health care the largest...
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Upcoming Congressional Fiscal Policy Deadlines
Read moreUpdated 2/17/26: On February 14, Homeland Security funding expired, causing a partial government shutdown affecting only that department. The spending...
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CMS Final Rule Closes Medicaid Loophole
Read moreThe Centers for Medicare & Medicaid Services (CMS) finalized a Medicaid rule, last week, which closes an especially egregious loophole that allowed...
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SDPs Run Amuck - The Case of Medical Debt Forgiveness as a Pretext for High Payments
Read moreMedicaid provides health insurance to nearly 71 million people, and will cost the federal government over $650 billion this year – nearly double what...
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What's In the One Big Beautiful Bill Act?
Read moreNote: This blog was updated on 8/4/25 to reflect CBO's newly-released estimates of the permanent cost of certain expiring tax provisions in OBBBA. The...
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2025 Reconciliation Resources
Read moreThe 119th Congress is expected to use the reconciliation process to pass legislation with a significant fiscal impact, such as extending the expiring...
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CMS Rule Would Close Medicaid Loophole
Read moreThe Center for Medicare & Medicaid Services (CMS) recently proposed a rule to limit some of the most egregious provider taxes used by states to...
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Comments on Proposed Rule to Close a Medicaid Financing Loophole
Read moreOn July 11, 2025 the Committee for a Responsible Federal Budget's Senior Vice President and Senior Policy Director Marc Goldwein and Director of...
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Comparing the Senate and House OBBBAs
Read moreThe Senate has passed its version of the Fiscal Year (FY) 2025 reconciliation bill – the One Big Beautiful Bill Act (OBBBA). The table below is a...
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Breaking Down the One Big Beautiful Bill
Read moreNote: (06/23/2025) Some categorizations and numbers in the Ways and Means' section of the table below have been updated to more accurately reflect the...