Our new report on the role of Medicaid for women of child-bearing age in rural areas is out! We have state by state data. Rural areas have been losing labor + delivery units at a rapid clip. Medicaid cuts will make this scary situation even worse for moms and babies.

My Georgetown Center for Children and Families colleague Leo Cuello's detailed overview of Medicaid and immigrant health coverage - and how kids and pregnant women who are legal immigrants are now being targeted for health coverage cuts by the House "big beautiful bill" ccf.georgetown.edu/2025/05/21/the…

"House Republicans are pushing to slash nearly $1 trillion from two of the nation’s bedrock safety net programs, Medicaid and food stamps....millions of Americans could lose access to these benefits as a result of a historic pullback in federal support." cnn.com/2025/05/21/pol…

18 state-based marketplaces just sent a pretty blistering letter to House leadership about just how damaging the ACA policies in the reconciliation bill — which drive almost a quarter of estimated coverage losses, before accounting for expiration of enhanced subsidies — would be.

From me and Joan Alker : "The “One Big Beautiful Bill” is an Attack on the Affordable Care Act’s Vision of Universal Coverage" ccf.georgetown.edu/2025/06/11/the…

👀Our new report finds Medicaid is a key insurer for small business workers and their families. This is a pretty astounding finding especially as the denominator is all Medicaid enrollees which includes seniors and people with disabilities. ccf.georgetown.edu/2025/06/26/med…

In a shocking dereliction of duty the leadership of the U.S. Senate - the so-called “world’s greatest deliberative body” - released text at midnight last night for the “OBBB” allegedly to start debate at noon today. Medicaid cuts remain extremely draconian.

The Senate version of the Medicaid work requirement doubles down and worsens a bad policy advanced by the House. It also gives the Trump Administration enormous leverage to protect their Governor friends and punish their enemies by timing the coverage losses. 1/7

My colleague Edwin Park has blogged about the new Senate bill CBO score confirming that Medicaid cuts are over $1 trillion. ccf.georgetown.edu/2025/06/29/con…

G.O.P. Bill Has $1.1 Trillion in Health Cuts and 11.8 Million Losing Care, C.B.O. Says nytimes.com/2025/06/29/us/… via @NYTimes

This effectively repeals Medicaid expansion in only a few years. New analysis here: cbpp.org/research/medic…

I’ve respectfully disagreed with Rep. Tillis, Speaker Tillis and Sen. Tillis for years on Medicaid. On the effect of the trillion dollars of cuts to Medicaid in the Senate bill, today I 100% agree with the Senator. Great statement.

My home state GOP Senator Thom Tillis dug up the facts and said it best this week on $1 trillion in cuts to Medicaid. Joan Alker, Andy Schneider, and I let his words speak for themselves in our new blog. ccf.georgetown.edu/2025/07/01/tru…

Messaging spin v. actual wording of the law that passed Congress: Coming federal Medicaid cuts hitting state budgets will not be negated by the newly-created but misnamed Rural Health Transformation Program. ccf.georgetown.edu/2025/09/02/unt…

Commentary - Is West Virginia ready for Capito Care? westvirginiawatch.com/2025/07/31/is-…

Buried in grant docs for HR1 Rural Health Fund: States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5 grants.gov/search-results…

I‘m thinking today about Saint Ignatius, the Budget Reconciliation Bill’s “Rural Health Transformation Fund” and Down East North Carolina: Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics? ccf.georgetown.edu/2025/09/19/unp…

States Should Use Rural Transformation Fund to Focus on Children and Families with Anne Dwyer ccf.georgetown.edu/2025/09/26/sta… via Georgetown Center for Children and Families

My latest: Trump Administration Severely Limits Funding for Rural Hospitals and Clinics from Rural Health Transformation Fund – Capped at 15% ccf.georgetown.edu/2025/10/21/tru…

Bear may be 11, but deer-induced acceleration shows his low fitness age