Medicaid news from every state
Medicaid reporting from more than 400 local newsrooms, public radio stations, advocates, attorneys general and state agencies, sorted into one feed per state and updated every four hours.
Medicaid stories from local newsrooms in every state, updated every four hours.
Latest from every state, page 21
- Published Oct 20
- Published Oct 20
- Published Oct 20
- Published Oct 20
- Published Oct 20PA
PA Home Care Firm Tied to Ex-Official Drew $85M in Medicaid Pay
New Hope Home Care, an Upper Darby, Pennsylvania agency linked to former township treasurer Mohammed "Danny" Sayduzzaman, received roughly $84.8 million in payments from Pennsylvania Medicaid managed care organizations between 2020 and mid-2026, growing more than tenfold over five years, according to state records obtained by Broad + Liberty. The payments are almost entirely for agency-directed personal assistance services billed to Medicaid MCOs, with no fee-for-service claims on record. Upper Darby Township has been unable to locate a business registration for the company, and all three listed shareholders face federal tax liens totaling about $357,000. No agency has alleged improper billing, but the reporting follows an unrelated August case in which federal and state prosecutors charged 18 people in Philadelphia with billing Medicaid for home care visits that never occurred.
Why it mattersThe rapid, unverified growth in Medicaid managed care billing alongside missing business registration and unpaid federal taxes among the company's principals signals the kind of program integrity red flags that state Medicaid agencies and MCOs are expected to screen for in home and community-based services billing.
- Published Oct 20
- Published Oct 20
- Published Oct 20
- Published Oct 20
- Published Oct 19MN
American Experiment Faults Klobuchar on Medical Device Tax, Medicaid Growth
In this American Experiment commentary, the author argues that Senator Amy Klobuchar should not claim credit for later softening the ACA's medical device tax because she voted for the underlying law that created it. The piece contends Minnesota device makers like Medtronic, Boston Scientific, and St. Jude absorbed hundreds of millions in annual tax costs, contributing to Medtronic's corporate inversion to Ireland, while other senators secured state-specific carve-outs during ACA negotiations. The author also claims Minnesota's Medicaid rolls expanded sharply post-ACA, now covering one-in-five residents, and asserts $9 billion was lost to fraud. The commentary frames these points as evidence against Klobuchar's record ahead of her reelection debates.
Why it mattersFor Minnesota Medicaid stakeholders, the piece links ACA-era eligibility expansion and program integrity concerns to a prominent state political debate shaping future Medicaid funding and oversight positions.
- Published Oct 19
- Published Oct 19
- Published Oct 19MN
SHADAC Publishes 2026 Directory of State Medicaid, CHIP Program Names
SHADAC has released its annual 2026 resource cataloging the official and colloquial names states use for Medicaid, CHIP, and state-based marketplace programs across all 50 states and D.C. The spreadsheet, compiled from verification contacts with state Medicaid staff in August and September 2026, notes wide variation, including Florida's four distinct CHIP program names and Washington state's nine separate public health insurance options. SHADAC provides these names to the U.S. Census Bureau for use in federal surveys like the Current Population Survey, aiming to improve accuracy of self-reported Medicaid participation relative to administrative records. The resource is available for download now and is updated annually.
Why it mattersResearchers, survey administrators, and state agencies rely on accurate program-name mapping to reduce the Medicaid undercount and correctly interpret self-reported coverage data in federal surveys.
- Published Oct 19
- Published Oct 19
- Published Oct 19
- Published Oct 19WV
WV Free Clinic Draws Hundreds Amid Medicaid Vision, Dental Gaps
West Virginia Health Right, the state's largest free and charitable clinic, held its annual We Care Day on Saturday in Charleston, drawing hundreds of people who began lining up the night before. CEO Angie Settle said vision care was the top need, followed by dental, with services also provided for chronic conditions, high blood pressure, and mammograms. Many attendees were adults on Medicaid, which in West Virginia does not cover eye exams or glasses for patients over 21, or working people who earn too much for Medicaid but cannot afford private insurance. Settle warned that delaying care for conditions like uncontrolled diabetes and hypertension often leads to costly emergency room and ICU visits treated as uncompensated care.
Why it mattersThe event highlights coverage gaps in West Virginia's Medicaid adult benefit package that drive uncompensated emergency and hospital costs when preventive and vision care go unaddressed.
- Published Oct 19CT
Connecticut Officials Warn 100,000 Could Lose Coverage Under HR1
Charter Oak Health Center President and CEO Vernette Townsend said Monday that roughly 100,000 people are projected to lose health coverage next year due to new eligibility and verification requirements mandated by the federal law known as HR1. Townsend characterized those affected as community members, families and neighbors rather than an abstract statistic, underscoring the local stakes for a Connecticut community health center. The changes take effect next year, though the article does not specify the exact implementation date or which coverage programs are affected. The warning signals growing concern among safety-net providers about enrollment losses tied to new federal requirements.
Why it mattersCommunity health centers and state Medicaid agencies face a looming surge in uncompensated care and enrollment churn as new federal eligibility requirements threaten coverage for tens of thousands of low-income residents.
- Published Oct 19
- Published Oct 19
- Published Oct 19
- Published Oct 19
- Published Oct 19
- Published Oct 19MT
Montana Outlet Urges Voters to Press Candidates on Medicaid
In a commentary piece, the outlet argues that Montana voters should press candidates ahead of the November election on Medicaid, affordability, and taxes. The piece encourages residents to use the remaining two weeks before Election Day to question candidates directly on where they stand on these issues. No specific policy proposal, legislative action, or candidate position is detailed in the piece itself; it functions as a civic-engagement prompt rather than a report on new Medicaid policy.
Why it mattersCandidate positions on Medicaid funding and eligibility that emerge from this election could shape Montana's program budget and expansion policy in the next legislative session.
- Published Oct 19
- Published Oct 19
- Published Oct 19CA
Retired Surgeon Argues Medicare and Medi-Cal Are "Welfare Fraud"
In a personal opinion essay, a retired Sacramento surgeon argues that Medicare is a disguised welfare program and that Medi-Cal constitutes "bureaucratic welfare fraud," tying his critique to Xavier Becerra's gubernatorial campaign and his "Medicare for All" rhetoric. The author recounts his history with the Tea Party movement during the Affordable Care Act debate, claims disability determinations by California physicians fraudulently funnel people into Medi-Cal, and cites an uncredentialed 2012 flyer titled "American Medical Care Is Terminal" as supporting evidence. The piece contains no new policy development, data, or reported event; it is an ideological commentary on Medicare, Medicaid and government health spending ahead of the November 2026 California election.
Why it mattersFor Medicaid policy professionals, the piece carries no operational or compliance content and serves only as an illustration of politically charged rhetoric around Medi-Cal and disability eligibility circulating in California's gubernatorial race.
- Published Oct 19
- Published Oct 19MN
Schutz Attacks Ellison's Medicaid Fraud Record in AG Race
Republican attorney general candidate Ron Schutz held a press conference challenging Minnesota AG Keith Ellison's fraud enforcement record, citing the Feeding Our Future scandal, a 2021 meeting with figures later indicted in that scheme, and subsequent campaign contributions Ellison received and later returned. Schutz also cited a KSTP investigation of 250 Medicaid Fraud Control Unit cases, claiming 144 resulted in stays of imposition and 70 in stays of adjudication, arguing plea deals let defendants avoid jail or lasting convictions. Schutz proposed pursuing parallel criminal and civil cases against both individuals and their companies if elected, promising tougher charging and no "sweetheart plea deals." The remarks come amid Minnesota's ongoing political fallout from large-scale Medicaid and federal nutrition program fraud schemes.
Why it mattersMinnesota's Medicaid Fraud Control Unit enforcement approach and leadership could shift substantially depending on the election outcome, affecting how aggressively providers and companies face prosecution for Medicaid fraud.
- Published Oct 19