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Reposted by Edwin Park

modernhealthcare.bsky.social @modernhealthcare.bsky.social · 4h

States are ratcheting down Medicaid reimbursement rates, squeezing providers already bracing for short- and long-term cuts from state and federal governments.

Hospital Medicaid pay cuts spread as state budget gaps widen

www.modernhealthcare.com

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Reposted by Edwin Park

Gregg Bloche @greggbloche.bsky.social · 8h

For a succinct explanation of the fight that's led to a government shutdown, join us this Friday: 📅 Oct 10 | 1–2:15 PM EDT:

"Rationing Medicine for America's Marginalized"
🔗 Register here: bit.ly/RationingMedicine

Organized by the Urban Institute/Georgetown Law Project on Health Equity

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Reposted by Edwin Park

Ty Jones Cox @tyjonescox.bsky.social · 9h

Last Friday, USDA issued new info about how some of the Republican megabill’s deepest #SNAP cuts will take effect. This guidance goes beyond what's required by law, setting states up to fail with implementation & increasing the risk eligible people lose SNAP unnecessarily.🧵

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Edwin Park @edwincpark.bsky.social · 10h

Since it needs to be said: states' #Medicaid reimbursement rates to hospitals don't vary by eligibility group, the applicable federal matching rate or if it's for emergency Medicaid. Like within Medicare & private insurance, Medicaid rates will only vary based on patients' diagnosis/severity.

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Reposted by Edwin Park

Loren DeJonge Schulman @lorenraeds.bsky.social · 1d

Former OMB associate director on personnel here: This is blatantly false and inexplicably undermines Congress's authority. Congress made extremely clear in 2019 that furloughed feds are to be paid, full stop, period. There is no question, except why the Speaker would make such a statement.

Aaron Rupar @atrupar.com · 1d

Johnson: "It's true that in previous shutdowns, many or most furloughed employees have been paid for the time they were furloughed, but there is new legal analysis - I don't know the details, I just saw a headline - but there are some legal analysts saying that might not be appropriate or necessary"

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Reposted by Edwin Park

Sam Bagenstos @sbagen.bsky.social · 1d

Feel free to attribute the following to a former OMB General Counsel: The supposed "new legal analysis" is, to use a technical legal term, horseshit. What the law actually says is that when Congress enacts a law ending a lapse, furloughed employees get paid at the earliest date possible. Period.

Aaron Rupar @atrupar.com · 1d

Johnson: "It's true that in previous shutdowns, many or most furloughed employees have been paid for the time they were furloughed, but there is new legal analysis - I don't know the details, I just saw a headline - but there are some legal analysts saying that might not be appropriate or necessary"

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Edwin Park @edwincpark.bsky.social · 2d

"We've done it" = the budget reconciliation law imposed the largest #Medicaid cuts in history and will increase the number of uninsured people by 10 million

Aaron Rupar @atrupar.com · 2d

Mike Johnson: "Let me look right into the camera and tell you very clearly: Republicans are the ones concerned about healthcare. Republicans are the party working around the clock everyday to fix healthcare. This is not talking points for us: we've done it."

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Edwin Park @edwincpark.bsky.social · 3d

My colleague Leo Cuello debunks the false claims about immigrants and health care made by Trump Admin & GOP Congressional leadership being used to oppose extending the enhanced Marketplace credits & reversing the draconian #Medicaid cuts. ccf.georgetown.edu/2025/10/02/f...

Factchecking Claims about Medicaid and Marketplace Health Coverage for Immigrants – Government Shutdown Edition

We are getting a lot of questions about the U.S. government shutdown that began on October 1, 2025, after a bipartisan failure to reach a deal to fund the government. The main point reporters are t…

ccf.georgetown.edu

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Edwin Park @edwincpark.bsky.social · 3d

In addition to blocking important enrollment simplifications for the Medicare Savings Programs, the #Medicaid cost shifts to states will likely lead to other cuts affecting low-income people on Medicare including cuts to long-term care especially home- and community-based care.

Mark Miller @retirementrevised.bsky.social · 4d

The OBBBA doesn’t reduce standard Medicare benefits, but it pauses a rule easing the path for low income seniors to get crucial help with costs. Millions will miss out.

open.substack.com/pub/retireme...

One way the "beautiful bill" does touch Medicare

Millions of poor seniors lost an easier path to help with costs

open.substack.com

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Reposted by Edwin Park

NPR @npr.org · 3d

North Carolina and Idaho have cut their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new federal tax-and-budget law takes effect.

States are cutting Medicaid provider payments long before Trump cuts hit

North Carolina and Idaho have cut their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new federal tax-and-budget law takes effect.

n.pr

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Reposted by Edwin Park

Carl Quintanilla @carlquintanilla.bsky.social · 3d

“.. an overhaul of the federal safety net for poor, older and disabled people that could result in hundreds of thousands of people losing benefits ..”

@washingtonpost.com
www.washingtonpost.com/politics/202...

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Reposted by Edwin Park

Kathleen Bachynski @bachynski.bsky.social · 4d

“People are going to have to travel longer distances, or they’re going to go without care,” said Olivia Pennington, director of advocacy for Maine Family Planning. “We are a cornerstone of Maine’s health care system, and forcing us into this position puts even greater strain on that system.”

A Freeze on Medicaid Payments Is Forcing Cuts to Rural Health Care

www.nytimes.com

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Edwin Park @edwincpark.bsky.social · 5d

Fragile N.C. Residents Lose #Medicaid Support for Food and Housing www.nytimes.com/2025/09/29/h...

Fragile N.C. Residents Lose Medicaid Support for Food and Housing

www.nytimes.com

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Edwin Park @edwincpark.bsky.social · 5d

In Some States, Strapped Counties Must Impose Trump’s #Medicaid Cuts www.nytimes.com/2025/09/30/u...

In Some States, Strapped Counties Must Impose Trump’s Medicaid Cuts

www.nytimes.com

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Reposted by Edwin Park

Alice Miranda Ollstein @alicemiranda.bsky.social · 5d

The administration's new immigrant visa rules are set to hit hospitals in 3 states hardest. All 3 voted for Trump. www.politico.com/news/2025/10...

Trump's new $100K visa fee could pummel red state hospitals

Rural areas that overwhelmingly voted for the president employ a high concentration of doctors on H-1B visas.

www.politico.com

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Reposted by Edwin Park

Justin Wolfers @justinwolfers.bsky.social · 6d

Trump's CEA is circulating its estimate of the economic cost of the government shutdown.

But, BREAKING: It's wrong. It makes a simple arithmetic error. And it's dishonest.

Surprising, I know. 🧵

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Reposted by Edwin Park

Drishti Pillai, PhD, MPH @drishp.bsky.social · 6d

H.R.1 ends health coverage eligibility for many lawfully present immigrants. It doesn't change health coverage options for undocumented immigrants who are already ineligible for federally funded health coverage under longstanding policy. More on this @kff.org : www.kff.org/quick-take/r...

Rolling Back the Big Beautiful Bill’s Health Care Provisions Would Not Provide Health Care to Undocumented Immigrants

Undocumented immigrants are not eligible for federally funded health coverage. The GOP’s Big Beautiful Bill didn’t change that. Overturning the health care provisions in the law won’t either.

www.kff.org

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Edwin Park @edwincpark.bsky.social · 6d

In the debate over extending the enhanced ACA Marketplace tax credits, there has been no discussion of their benefit for children's coverage. The enhanced credits helped increase child Marketplace enrollment (under age 18) by 2.5X to 2.6 million between 2020 & 2025 (based on open enrollment data).

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Edwin Park @edwincpark.bsky.social · 6d

Just three months ago they were brazenly denying that there were any #Medicaid cuts at all in the budget reconciliation law, despite the $990B in cuts being the largest cuts to the program in history which will make 7.5M people uninsured.

Aaron Rupar @atrupar.com · 6d

KERNEN: There was an op-ed in the Journal urging Republicans not to get soft on some of the Medicaid cuts that we saw in the beautiful bill

BESSENT: The spending cuts that occurred in the one big beautiful bill were the largest in history and we're not gonna go back on them

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Reposted by Edwin Park

NPR @npr.org · 6d

Mississippi recently declared a public health emergency because its infant mortality rate has surged. And with Medicaid cuts coming, experts fear the crisis may worsen in other states.

What Mississippi's infant mortality crisis says about the risks of Medicaid cuts

Mississippi recently declared a public health emergency because its infant mortality rate has surged. And with Medicaid cuts coming, experts fear the crisis may worsen in other states.

n.pr

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Reposted by Edwin Park

Larry Levitt @larrylevitt.bsky.social · 7d

It's striking that the primary Republican talking point against the Democratic proposal to restore Medicaid and ACA cuts is that it would give health care to undocumented immigrants, which isn't true. There isn't a broader defense of the cuts.

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Reposted by Edwin Park

Timothy McBride @mcbridetd.bsky.social · 7d

GOP pushes lies about shutdown
www.nbcnews.com/politics/con...

GOP misleads with claim that Democrats shut down to give health care to 'illegal immigrants'

U.S. law prohibits federal health care benefits for undocumented immigrants. Democrats want to return benefits for those with lawful presence, like DACA recipients and asylum-seekers.

www.nbcnews.com

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Reposted by Edwin Park

Ben D’Avanzo @bendavanzo.bsky.social · 7d

Would repealing HR1 give health care to undocumented immigrants as the White House claims? NO. As explained in our new resource that thoroughly reviews their falsehoods

www.nilc.org/resources/fa...

Fact Checking Immigrants, Health Care, and the 2025 Tax and Budget Law

In response to misinformation about the 2025 reconciliation law, in particular about undocumented immigrants healthcare eligibility, this commentary addresses misleading statements and clarifies why t...

www.nilc.org

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Reposted by Edwin Park

Don Moynihan @donmoyn.bsky.social · 7d

What good are negotiations over budgets when Trump just ignores the agreements? Vought saying he will cancel another $8 billion in federal spending in blue states.

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Edwin Park @edwincpark.bsky.social · 7d

Here again in the joint Georgetown CCF and CHIR summary and analysis of the health provisions of H.R. 1 (5/x): ccf.georgetown.edu/2025/07/22/m...

Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained

Editor’s Note: this brief was updated on August 13, 2025 to reflect additional Congressional Budget Office coverage estimates of the reconciliation law issued on August 11, 2025 In partnership with…

ccf.georgetown.edu

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