Capitol Comments

Yesterday, federal officials issued new guidance that will support “state efforts to improve Medicaid enrollee health outcomes by incentivizing community engagement among able-bodied, working-age Medicaid beneficiaries.” A number of Section 1115 waiver applications currently before the Department for Health and Human Services would impose work requirements in one way or another are expected to be approved under the new policy.

The Council of State Governments will release a new report, "Diabetes in the United States: Examining Growth Trends, State Funding Sources and Economic Impact", on state spending for diabetes at the 2017 CSG National Conference in Las Vegas on Dec. 15. 

CSG, with assistance from the National Association of Chronic Disease Directors, surveyed all 50 states to discover how many states appropriate funds for diabetes prevention and management. Half of the states reported state funds used in fiscal...

On Tuesday, Nov. 7, Maine voters approved (59 percent of the vote) a ballot measure to expand Medicaid eligibility to an estimated 70,000 low-income individuals. Maine is the first state to approve Medicaid expansion through a voter referendum. It would bring the expansion total to 32 states and the District of Columbia.

Gov. Paul LePage, who has vetoed Medicaid expansion bills five times, has issued a statement saying he will not implement the measure unless the legislature fully funds it.

Today Seema Verma, administrator for the Centers for Medicare and Medicaid Services (CMS), spoke to the state Medicaid directors at their fall conference in Washington, D.C. She outlined her vision for the future of Medicaid and unveiled a number of new CMS policies during that speech and in this press release. She pledged to give states more freedom to design innovative programs and to remove federal impediments that stand in the way of states.

Maine voters will have a chance to vote on Nov. 7, 2017, whether to expand Medicaid coverage to an estimated 70,000 Mainers under the age of 65 with incomes below or equal to 138 percent of the federal poverty level. This is exactly the Medicaid expansion provision included in the Affordable Care Act.

In Virginia, the November ballot impact on health care is a little less direct, but is also being watched by political observers. All 100 House of Delegate seats are up for election. If the Democrats pick up a number of seats the legislature could approve Medicaid expansion, bringing health care insurance to 400,000 low income Virginians.

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