State Policy
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- State Policy · MI
Michigan Families Face Food Insecurity Following Federal SNAP Cuts in OBBBA
Michigan residents are experiencing increased food insecurity one year after passage of the One Big Beautiful Bill Act (OBBBA), which reduced federal food assistance and healthcare funding. The federal legislation cut billions in nutrition and health benefits for low-income households. While the article focuses primarily on SNAP (food stamps), reductions in healthcare assistance under OBBBA may affect Medicaid coverage or benefits for Michigan residents. The impact is occurring against a backdrop of limited job opportunities in the state.
- State Policy · AZ
Arizona Erases $1 Billion in Medical Debt for 670,000 Residents
Arizona has eliminated over $1 billion in medical debt for 670,963 residents through a partnership with Undue Medical Debt, with more than 200,000 relief letters sent this week. The initiative provides debt relief to qualifying Arizonans. Governor Katie Hobbs' office announced the milestone on August 5, 2026. The program addresses medical debt burdens that disproportionately affect Medicaid-eligible and low-income populations who cycle between coverage and uninsured status.
- State Policy · GA
Georgia Gubernatorial Candidates Differ on Medicaid Expansion at Chamber Event
Georgia's 2026 gubernatorial candidates outlined contrasting positions on Medicaid expansion at a Georgia Chamber of Commerce luncheon on August 5, 2026. Democrat Keisha Lance Bottoms and Republican Rick Jackson presented competing visions for the state's healthcare policy, with Medicaid expansion emerging as a key policy divide. The debate comes as Georgia remains one of ten states that has not expanded Medicaid under the Affordable Care Act. The outcome of the November election will determine whether Georgia pursues expansion, which would extend coverage to an estimated 450,000 low-income adults.
- State Policy · MI
Michigan Democratic Candidate Criticizes Medicaid Cuts in Federal Budget Legislation
Democratic primary winner William Lawrence criticized proposed Medicaid cuts in federal legislation referred to as the "One Big Beautiful Bill," during a campaign event at a Lansing hospital with healthcare providers and residents expected to be affected by the changes. The candidate used the event to renew calls for Medicare for All as an alternative to current Medicaid policy. The article does not specify the effective date or detailed nature of the Medicaid cuts referenced. This represents state-level political reaction to federal Medicaid policy changes still under consideration.
- State Policy · IN
Indiana Medicaid Returns $310 Million Surplus to State General Fund
Indiana's Family and Social Services Administration returned $310 million to the state general fund this year, reversing a prior $1 billion Medicaid deficit. FSSA Secretary Mitch Roob attributed the turnaround to agency reforms including regular financial reviews and must-return mailers. The surplus reflects improved program integrity and budget management within Indiana's Medicaid program. This development demonstrates how operational reforms can transform state Medicaid finances from deficit to surplus.
- State Policy · FL
Florida Auditor General Cites Delayed Access to Medicaid Unwinding Records
Florida's Auditor General reported that the Department of Children and Families significantly delayed providing records for an audit of Medicaid eligibility redeterminations following the end of the COVID-19 public health emergency. The audit report cites "Significant Audit Constraints" and recommends DCF management demonstrate commitment to accountability, transparency, and compliance with state law. The delay affected the auditor's ability to review how Florida handled the unwinding process that began in 2023. This raises questions about oversight and transparency in Florida's management of Medicaid eligibility operations during a period when millions of beneficiaries nationwide lost coverage.
- State Policy · OH
Ohio Home Care Workers Face Uncertainty as 100,000 Medicaid Recipients Await Policy Decision
Over 100,000 Ohio Medicaid beneficiaries receiving home and community-based services face uncertainty about the continuity of their care, according to a report from Dayton. The story profiles Dorothy Valentine, a longtime nursing home worker who understands both institutional and home-based care settings, highlighting growing concerns among home care workers and recipients about potential policy or funding changes. The article does not specify what precipitated the concerns or when any changes would take effect. The situation affects Ohio's LTSS delivery system and the workforce supporting community-based alternatives to institutional care.
- State Policy · ME
Maine Community Coalition Mobilizes to Prevent Rural Birthing Center Closure
A grassroots coalition in Maine is working to prevent the closure of a rural labor and delivery center amid growing maternity care deserts nationwide. The community-led effort represents a strategic response to proposed facility closures that would eliminate local birthing services. The coalition's organizing reflects broader challenges rural communities face as hospitals close obstetric units due to financial pressures and workforce shortages. For Medicaid agencies and managed care plans serving rural populations, the fight highlights access challenges for pregnant beneficiaries who would face longer travel distances for delivery services.
- State Policy
Seven States Improve Medicaid Access to Continuous Glucose Monitors Beyond Coverage Mandates
Seven states implemented strategies to strengthen access to continuous glucose monitors (CGMs) for Medicaid enrollees with diabetes, going beyond coverage policies to address utilization barriers. The Center for Health Care Strategies report examines how these states improved actual device uptake and diabetes care outcomes. The findings highlight operational approaches to bridge the gap between coverage on paper and real-world access. This matters for state Medicaid agencies and managed care plans working to translate diabetes technology coverage into measurable improvements in member health outcomes.
- State Policy
States Move to Restrict Medicaid Coverage of ABA Therapy for Autism
Multiple states are implementing new restrictions on Applied Behavior Analysis (ABA) therapy coverage for children with autism under Medicaid. The changes include stricter prior authorization requirements, reduced therapy hour caps, and new medical necessity criteria. State Medicaid agencies cite rising program costs and utilization management concerns as drivers for the policy shifts. The restrictions affect access to the primary evidence-based treatment for autism covered by Medicaid, which serves as the largest payer of autism services nationally.
- State Policy · IN
Indiana to Implement Medicaid Work Requirements and New Eligibility Rules Over Next 18 Months
Indiana will implement new Medicaid work requirements and eligibility rules over the next 18 months, following a redetermination period that already removed hundreds of thousands of beneficiaries from coverage. The changes represent a second phase of enrollment restrictions after the unwinding of pandemic-era continuous coverage protections. The new requirements will determine whether additional beneficiaries lose Medicaid coverage. State agencies and managed care plans operating in Indiana will need to adjust operations to support compliance tracking and member communications around the work requirement policy.
- State Policy · CT
Connecticut Medicaid Considers Restricting HIV Medication Treatment Options
Connecticut's Medicaid program is considering implementing restrictions on HIV medication access that would limit available treatment options for beneficiaries. The proposed limitations would affect patients currently receiving or seeking HIV treatment through the state's Medicaid program. The timing and specific scope of the restrictions under consideration have not been publicly detailed. This development raises concerns about medication continuity and treatment adherence for Connecticut Medicaid beneficiaries living with HIV, particularly given clinical evidence supporting treatment choice in managing the condition.
- State Policy · NC
Study Finds Medicaid Expansion Did Not Reduce Firearm Suicides Among Most Men
A new study found that Medicaid expansion has not reduced firearm suicide rates among most men, despite documented improvements in health care access and behavioral health treatment availability for expansion populations. The research challenges assumptions about the relationship between Medicaid coverage and suicide prevention outcomes for male enrollees. The findings have implications for state Medicaid agencies and managed care organizations designing behavioral health interventions and measuring quality outcomes in expansion populations, particularly as states continue to evaluate the effectiveness of coverage expansions on mental health and mortality metrics.
- State Policy · CA
California Medi-Cal Program Changes Prompt Beneficiary Outreach on Coverage Continuity
California's Medi-Cal program is undergoing changes that may affect some beneficiaries' coverage, though most enrollees will not be impacted. Beneficiaries are advised to update contact information with their county benefits office and monitor correspondence from county and state agencies to avoid unintended coverage loss. The guidance emphasizes the importance of maintaining current contact details to receive notices about eligibility determinations. State and county agencies are conducting outreach to prevent coverage disruptions during the transition.
- State Policy · CA
California Advises Medi-Cal Enrollees to Update Contact Information Amid Program Changes
California is advising Medi-Cal enrollees to update their contact information with county benefits offices as the program undergoes changes. Most enrollees will not see changes to their benefits, but the state is emphasizing the importance of monitoring mail from county and state agencies to ensure uninterrupted coverage. The guidance comes as the state works to manage transitions that could affect eligibility determination or benefit administration. Enrollees who fail to update contact information or respond to renewal notices risk coverage disruptions.
- State Policy · IN
Indiana Families Report Coverage Losses During Medicaid Redetermination Process
Indiana families are losing Medicaid coverage despite submitting required documentation during the state's ongoing eligibility redetermination process. Parents report receiving termination notices after complying with verification requests, with some experiencing gaps in coverage for children despite resubmitting paperwork. The coverage losses appear tied to administrative processing issues during Indiana's unwinding of pandemic-era continuous enrollment protections. Affected families face immediate barriers to accessing care and prescription medications while attempting to restore coverage through state appeals processes.
- State Policy · FL
Florida Lawmaker Questions Continuing KidCare Continuous Eligibility Legal Fight
A Florida lawmaker is calling for the next governor to reconsider the state's ongoing litigation challenging federal continuous eligibility requirements for children in KidCare, Florida's CHIP program. Governor DeSantis has spent two years in court opposing the federal mandate that children remain enrolled for 12 months. The challenge has prevented implementation of a 2023 state law the governor signed. The legal dispute centers on whether Florida must comply with the federal continuous eligibility policy as a condition of receiving federal Medicaid and CHIP funding.
- State Policy · CA
California Reverses Medi-Cal Expansion Amid Budget Shortfalls and Federal Restrictions
California is reversing decades of health coverage expansion, rolling back Medi-Cal eligibility and benefits in response to state budget shortfalls and new federal restrictions. The changes affect millions of California Medi-Cal beneficiaries who gained coverage through previous expansions. The timing and specific scope of cuts are detailed in a CalMatters documentary examining impacts at a Los Angeles clinic. This represents a significant shift in the nation's largest state Medicaid program, affecting managed care plans, providers, and beneficiaries who previously gained coverage.
- State Policy
NASHP Tracker Compiles State Hospital Reference-Based Pricing Initiatives
The National Academy for State Health Policy has published an ongoing overview tracking state efforts to implement hospital reference-based pricing tied to Medicare rates. The tracker compiles state purchaser initiatives aimed at controlling hospital price growth through payment rate caps or benchmarks. These state policies primarily affect state employee health plans, not Medicaid programs. The tracker serves as a reference resource for state policymakers monitoring hospital pricing approaches across states.
- State Policy · CA
California Cuts Medi-Cal Asset Limits 84% Effective July 2027
California will reduce Medi-Cal asset limits by 84% starting July 1, 2027. Current limits of $130,000 for an individual (plus $65,000 per additional household member, up to 10 people) will drop to $21,000 for one person. The change affects eligibility determination for Medi-Cal applicants and enrollees subject to asset tests. This represents a significant tightening of financial eligibility criteria that will reduce the asset threshold available to certain Medi-Cal populations.