Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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Informational use only. Not legal or compliance advice.
Sunday, July 5, 20260 Stories Today
Federal Policy·2d ago

CMS and VA Launch Data Match to Verify Marketplace Subsidy Eligibility

CMS is establishing a new Privacy Act computer matching program with the Department of Veterans Affairs to verify eligibility for insurance affordability programs under the Affordable Care Act. The data match will allow CMS to cross-check applicant information against VA records to confirm subsidy eligibility for Marketplace coverage. The matching program follows standard Privacy Act protocols requiring advance notice before implementation. This affects how eligibility is determined for individuals who may qualify for both VA benefits and Marketplace subsidies, though it does not directly alter Medicaid managed care operations.

Federal Policy·3d ago

DEA Proposes Schedule I Classification for Synthetic Kratom Compound 7-OH

The Drug Enforcement Administration announced plans to temporarily classify 7-hydroxymitragynine (7-OH) and three related synthetic kratom compounds as Schedule I controlled substances, placing them in the same regulatory category as heroin and LSD. The classification applies to synthetic versions of the psychoactive compound found in kratom products. If finalized, the scheduling action would prohibit manufacture, distribution, and possession of these substances, with enforcement implications for entities handling these compounds. The timing of implementation and comment period was not specified in the available content.

Federal Policy·3d ago

Medicaid Coverage Reinstated for Non-Abortion Services at Planned Parenthood Clinics

Federal restrictions preventing Medicaid reimbursement for non-abortion services at Planned Parenthood have ended, restoring coverage for routine healthcare provided at these clinics. States now have discretion to determine whether Medicaid enrollees can access covered services at Planned Parenthood locations that remain operational. The change takes effect immediately, reversing a previous ban that prohibited Medicaid payment for any services delivered by Planned Parenthood providers, including primary care, family planning, STI testing, and cancer screenings. Medicaid managed care organizations must now determine network participation and reimbursement policies for these providers according to state guidance.

Federal Policy·3d ago·KFF ResearchCBO Projects Medicaid Enrollment and Spending Decline Through 2036 Under Reconciliation LawFederal Policy·3d ago·GAOGAO Reports $12 Billion in Federal Medicaid and Medicare Spending for Assisted Living in 2024Federal Policy·3d ago·oig.hhs.govOIG Finds Part D Plans Cover Most Drugs Used by Dual Eligibles in 2026Federal Policy·4d ago·NASHPCMS Schedules Webinar on Interim Final Rule for Medicaid Community Engagement RequirementsFederal Policy·4d ago·Georgetown CCFGeorgetown Hosts Webinar on Medicaid Federal-State Financing BasicsFederal Policy·WA·4d ago·jdsupra.comCMS Launches WISeR Gold Card Exemption Program July 6 in Washington StateFederal Policy·4d ago·aha.orgAHA Opposes Bill Adding IRS Schedule H Reporting Requirements for Tax-Exempt HospitalsFederal Policy·5d ago·GAOGAO Adds Fourth Priority Recommendation for Social Security AdministrationFederal Policy·5d ago·STAT NewsTrump Administration Obesity Drug Agreement Faces Implementation IssuesFederal Policy·5d ago·Healthcare DiveONC Awards New Contract to Oversee TEFCA Data Exchange FrameworkFederal Policy·6d ago·Georgetown CCFTen States Enter CCBHC Medicaid Demonstration as H.R. 1 Threatens FundingFederal Policy·6d ago·STAT NewsSenators Pursue $35 Insulin Cap for Private Insurance and UninsuredFederal Policy·6d ago·MedCity NewsCMS Final Rule on Prior Authorization Leaves Core Automation Challenges UnresolvedFederal Policy·6d ago·jdsupra.comLatham & Watkins Digest Tracks June 2026 Drug Pricing and Rebate DevelopmentsFederal Policy·6d ago·KFF ResearchKFF Tracker Compiles Monthly Medicaid and CHIP Enrollment DataFederal Policy·6d ago·GAOGAO Faults HHS for Lacking Near-Term Goals in National Alzheimer's ProjectFederal Policy·6d ago·The HillSanders Releases HHS Emails Showing Kennedy Pressured CDC on Vaccine MessagingFederal Policy·6d ago·wisconsinexaminer.comAdvocates Warn Federal Support for Home and Community-Based Services at RiskFederal Policy·9d ago·MACPACMACPAC Releases 2026-2027 Meeting Agenda on Program Integrity and Federal OversightFederal Policy·9d ago·Healthcare Dive+1 moreHouse Hearing Surfaces Partisan Split on CMS Medicaid Funding DeferralsFederal Policy·9d ago·jdsupra.comCMS Prioritizes IRA Implementation and PBM Reform in Drug Pricing AgendaFederal Policy·10d ago·KFF ResearchKFF Tracker Compiles Federal Medicaid Program Integrity Actions by StateFederal Policy·10d ago·STAT News+1 moreCassidy Introduces Bill to Limit Hospital 340B Drug Discount EligibilityFederal Policy·10d ago·STAT NewsBipartisan Bill Would Allow Direct Methadone Prescribing for Opioid Use DisorderFederal Policy·10d ago·Healthcare Dive+2 moreCMS Projects U.S. Health Spending to Reach $5.7T in 2025, Driven by Utilization GrowthFederal Policy·10d ago·Home Health Care NewsCMS Projects Home Health Spending Growth to Slow to 7.9% in 2026Federal Policy·11d ago·The HillSenate Democrats Challenge Trump Administration's Moms.gov Site Over Crisis Pregnancy Center ListingsFederal Policy·11d ago·Healthcare DiveRural Hospitals Downsize Inpatient Care Under $50B Federal Transformation FundFederal Policy·IN·11d ago·indianacapitalchronicle.comIndiana Joins CMS Pilot Using Oracle AI to Detect Medicaid FraudFederal Policy·12d ago·spotlightpa.org+1 moreTrump Administration Holds $2 Billion in HHS Grants Pending White House ReviewFederal Policy·12d ago·STAT NewsSupreme Court Could Review Executive Order Ending Birthright CitizenshipFederal Policy·MN·12d ago·minnesotareformer.comNew Federal Medicaid Rules Threaten Minnesota Mental Health SystemFederal Policy·13d ago·STAT NewsWhite House Proposal Threatens Federal Funding for Health Equity ResearchFederal Policy·13d ago·MedCity NewsCongressional Democrats Push to Repeal CMS WISeR ModelFederal Policy·16d ago·STAT NewsFederal Grant Delays Threaten Disability Research Institutions and ServicesFederal Policy·17d ago·The HillSenate Democrats Investigate HHS Changes to Federal Vaccine Advisory PanelFederal Policy·17d ago·nebraskaexaminer.com+13 moreCMS Announces Stricter Financial Oversight of Section 1115 Demonstration WaiversFederal Policy·17d ago·Federal RegisterCMS Seeks Input on PBM Compensation Restrictions and Data Reporting for 2028 ImplementationFederal Policy·17d ago·STAT NewsCDC Reports 1,415% Increase in Nitazene Overdose Deaths Since 2020Federal Policy·17d ago·cbpp.org+26 moreTrump Administration Finalizes Rule Tightening Medicaid Work Requirement Medical ExemptionsFederal Policy·18d ago·SAMHSA+2 moreHHS Announces $708 Million in Behavioral Health Funding OpportunitiesFederal Policy·18d ago·KFF ResearchUninsured Population Grew in 2024, First Increase Since 2019Federal Policy·18d ago·The HillFDA Approves Third Over-the-Counter Naloxone Nasal SprayFederal Policy·19d ago·Federal RegisterCMS Proposes Rule to Codify Medicare Drug Price Negotiation ProgramFederal Policy·19d ago·National Health LawNHeLP Report Finds Electronic Asset Verification Creates Rural Medicaid Access BarriersFederal Policy·19d ago·STAT NewsMedicare Coverage of Anti-Obesity Drugs Begins Next Month Under Temporary ProgramFederal Policy·19d ago·The HillSenate Democrats Release Prescription Drug Pricing Policy Blueprint
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Medicaid Monitor is an informational resource operated by Lanphier Ventures, LLC. Content is curated and summarized using AI and is provided for general informational purposes only. It does not constitute legal, regulatory, or compliance advice.

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