News & Analysis as of August 17, 2025

State Taxes

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Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with... more +

Understanding the Federal Reconciliation Bill’s Implications for MCO Tax Structure

Sheppard Mullin Richter & Hampton LLP on 6/19/2025

New York’s Medicaid financing strategy—particularly its use of a managed care organization (MCO) tax—has come under renewed federal scrutiny amid recent legislative proposals and regulatory developments. The federal...more

Proposed Rule on Medicaid Tax Waivers: CMS Moves to Close a Loophole Shifting Costs to the Federal Government

Sheppard Mullin Richter & Hampton LLP on 5/30/2025

On May 15, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule, entitled “Preserving Medicaid Funding for Vulnerable Populations – Closing a Health Care-Related Tax Loophole” to address a...more

Illinois Insights Special Edition: 2025 Budget Address Recap

Cozen O'Connor on 2/20/2025

On Wednesday, February 19, Governor J.B. Pritzker delivered his seventh annual Budget Address to a joint session of the General Assembly, where he unveiled his $55.2 billion FY26 Executive Budget - marking an approximately $2...more

New York Executive Budget Proposes Amendments to MCO Provider Tax

McDermott Will & Schulte on 2/12/2025

The New York State Executive Budget for Fiscal Year (FY) 2026 proposes significant updates to the managed care organization (MCO) provider tax, aiming to enhance Medicaid funding through innovative financial strategies. The...more

Third Time’s a Charm: Governor Bentley and Legislature Reach Budget/Tax Compromise

Bradley Arant Boult Cummings LLP on 9/22/2015

Summary - Governor Robert Bentley called a second special session of the Alabama Legislature on Tuesday, September 9 at 5 p.m. to address the FY 2016 General Fund budget and associated revenue measures. After meeting for...more

Weekly Update from the NC State House - With the primary elections behind them, 170 state legislators reconvened in Raleigh on...

Nexsen Pruet, PLLC on 5/20/2014

And They're Off! - With the primary elections behind them, 170 state legislators reconvened in Raleigh on Wednesday and they did so full sail. The last days leading up to session were consumed by interim committees...more

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