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Medicaid › State Budgets

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 +
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 children.  less -
Cozen O'Connor

Pennsylvania Perspective for Monday, August 4, 2025

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Gov. Shapiro Urges Compromise as Budget Talks Stall - Governor Josh Shapiro (D) says progress is slow but ongoing in Pennsylvania’s overdue budget negotiations, with mass transit funding and school choice among key sticking...more

McDermott Will & Schulte

Budget reconciliation’s effect on New York’s Medicaid and Essential Plan funding

McDermott Will & Schulte on

The budget reconciliation process resulting in the One Big Beautiful Bill Act, which was enacted on July 4, 2025, contains many significant changes to the Medicaid program. Many of the changes, such as those related to work...more

Cozen O'Connor

Pennsylvania Perspective for Thursday, July 17, 2025

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PA Budget Bill Passes in House, Stalls in Senate - On Monday, the Democratic-led state House voted to forward their state budget bill to the Senate, where GOP leadership is skeptical of full passage. While the House’s...more

Bond Schoeneck & King PLLC

What Lies Ahead for Healthcare and Human Services Now that the One Big Beautiful Bill Act Is Law

Bond Schoeneck & King PLLC on

With President Trump’s July 4th signing of the One Big Beautiful Bill Act (“OBBBA,”) Federal reconciliation package into law, we will see massive shifts – some near-term, and others over time – in the administration of and...more

Mintz - Health Care Viewpoints

Challenges Facing Managed Care Organizations under the Current Administration

Mintz - Health Care Viewpoints on

Within the first six months of President Trump’s second term, his Administration and the GOP have already implemented significant policies that are reshaping health care in the United States. Through his Administration’s...more

Brownstein Hyatt Farber Schreck

Colorado Braces for Medicaid Changes

Brownstein Hyatt Farber Schreck on

With the signature of President Trump’s marquee domestic policy bill—H.R.1, the One Big Beautiful Bill Act—the federal approach to the Medicaid program is poised to change significantly. How Colorado’s political leaders treat...more

Cozen O'Connor

Pennsylvania Perspective for Monday, July 7, 2025

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PA’s Lottery Allowed to Allocate More Money to Player Payouts- Lawmakers passed legislation last week aimed at raising millions of more dollars for senior citizens by allowing the Pennsylvania Lottery to funnel more funds...more

Cozen O'Connor

Pennsylvania Perspective for Thursday, July 3, 2025

Cozen O'Connor on

Gov. Shapiro Remains Optimistic About Ongoing Budget Negotiations- Governor Josh Shapiro (D) says a budget deal is expected “very soon” despite Pennsylvania missing its July 1 deadline, as lawmakers continue closed-door...more

Cozen O'Connor

Pennsylvania Perspective for Thursday, June 26, 2025

Cozen O'Connor on

Medicaid Costs Dominate Budget Talks as Deadline Looms- Pennsylvania lawmakers are locked in tense budget negotiations as Governor Josh Shapiro’s (D) proposed $2.5 billion increase in Medicaid funding faces pushback from...more

Maynard Nexsen

Nursing Home Operators Wary of Steep Medicaid Cuts as "One Big Beautiful Bill" Moves to Senate

Maynard Nexsen on

Even as long-term care providers celebrate a proposed 10-year moratorium on the nursing home staffing mandate[1], they are sounding the alarm over major Medicaid cuts included in the House-passed budget reconciliation bill...more

Cozen O'Connor

Pennsylvania Perspective for Monday, June 9, 2025

Cozen O'Connor on

Gov. Shapiro Launches “Deliberative Polling” to Foster Bipartisan Dialogue -Governor Josh Shapiro (D) launched a three-day deliberative polling event in Philadelphia aimed at encouraging informed, cross-partisan discussions...more

Cozen O'Connor

Illinois Insights: An update from Cozen O'Connor (6/2)

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Illinois Democrats pass budget in final minutes with sports betting tax hike- “Illinois lawmakers approved a $55.2 billion state budget package minutes ahead of a key constitutional deadline Saturday night, relying on tax...more

Cozen O'Connor

Pennsylvania Perspective for Monday, June 2, 2025

Cozen O'Connor on

Federal Funding Uncertainties Send PA Budget Talks into Limbo - State lawmakers are struggling to agree on funding priorities in time to meet the budget deadline of June 30 as federal uncertainties in transit, education, and...more

King & Spalding

Budget Reconciliation Bill Impacts Medicaid Financing, Programs, and Eligibility

King & Spalding on

Last week, the House Energy & Commerce Committee marked up legislation that would significantly affect the Medicaid program, including changes to state Medicaid financing mechanisms, state directed payment programs that...more

Epstein Becker & Green

CMS Proposes to Close Perceived Loophole in Medicaid Health Care-Related Tax Regulations

Epstein Becker & Green on

On May 12, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would impose an additional requirement to federal Medicaid regulations in order for non-broad-based and uniform health...more

Bond Schoeneck & King PLLC

Destabilizing Federal Medicaid Proposals Dangle Like Damocles’s Sword Over New York’s Health Care System

Bond Schoeneck & King PLLC on

New York State’s FY '26 budget is balancing precariously on a banana peel. Although Governor Hochul finally approved the budget in May after a weekslong standoff with the legislature, the budget rests on assumptions that...more

Winthrop & Weinstine, P.A.

Legislative Top 5 - May 2026 #3

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Governor and Legislative Leaders Agree to Budget Targets - On Thursday of this week, the Governor and legislative leaders announced that they had reached agreement on budget targets, a copy of which can be found...more

Cozen O'Connor

Policy Alert: New York State Passes FY26 Budget

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Yesterday, state lawmakers passed the $254B FY26 state budget, reflecting an increase of $17B from FY25. The budget was passed over five weeks after the deadline of April 1, and will be retroactively in effect from April 1,...more

Dentons

Iowa 2025 Legislative Session – Week 14

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Last week, the energy changed under the golden dome as legislators gave the first indications they are moving towards ending this year’s legislative session. While ultimately not taken up by either chamber this week, Pharmacy...more

Brooks Pierce

Brooks Pierce Capital Dispatch: Senate Approves Budget Bill and Confirms Two More Secretaries

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Senate Budget bill - The North Carolina Senate on Thursday approved its version of the 2025 Appropriations Act by a vote of 30 to 15. Four Democrats joined twenty-six Republicans in supporting the bill. Fourteen Democrats...more

Bricker Graydon LLP

Ohio House Republicans Revamp State Budget: Key Amendments in H.B. 96

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House Republicans put their stamp on Ohio’s operating budget (H.B. 96), passing the legislation, 60 to 39, after making substantial amendments to Governor DeWine’s budget proposal. Five Republican members joined the entire...more

Spilman Thomas & Battle, PLLC

The Dome Report: Cross Over Day at the 2025 Session of the West Virginia Legislature

Spilman Thomas & Battle, PLLC on

Cross Over Day at the West Virginia Legislature separates the living bills from those that are most likely dead for the session. At the conclusion of the floor sessions on April 2, all bills have to be out of their house of...more

Maynard Nexsen

2025 Alabama Legislative Update: Regular Session - Week Seven

Maynard Nexsen on

Pharmacy Legislation - This week, the House Insurance Committee gave a favorable report to legislation, sponsored by Senator Billy Beasley, concerning Pharmacy Benefit Managers (PBMs) and altering the mechanism by which...more

McCarter & English, LLP

New Jersey FY 2026—Department of Health Budget Hearing

McCarter & English, LLP on

On April 3, 2025, New Jersey Department of Health (NJDOH) Commissioner Dr. Kaitlan Baston appeared before the Senate Budget and Appropriations Committee to present Governor Murphy’s proposed Fiscal Year 2026 State Budget for...more

Dentons

Iowa 2025 Legislative Session – Week 11

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Legislators continued to work hard in Week 11 of the 2025 Iowa Legislative Session as the second funnel deadline rapidly approaches. This week featured long caucus meetings followed by floor debate, and the long-awaited...more

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