Commentary: Medicaid access for millions hangs in the balance

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Commentary: Medicaid access for millions hangs in the balance
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U.S. President Joe Biden needs to put a stop to a new proposed rule from the Centers for Medicare & Medicaid Services that would undermine health care access at the very time COVID-19 emergency orders are expiring.

The president knows it, which is why he pledged in his Februaryto expand coverage to those left off Medicaid. However, seemingly in an attempt to make up for funding shortfalls for the program, which is nearing insolvency, the Centers for Medicare & Medicaid Services, or CMS, recently issued new counterproductive program guidance that can make this big problem even worse.

New guidance from CMS threatens to regulate how states can fund their side of the program, especially their redistribution of Medicaid payments. The agency’s aim appears to be lowering state Medicaid spending, which would, in turn, reduce the federal government’s spending. While Medicaid is in need of reform, this new CMS guidance will only add more fuel to the country’s rural hospital crisis fire, jeopardizing hospital and doctor access for hundreds of thousands of Americans.

If CMS doesn’t already know that its new guidance is counterproductive, it should at least know that it is at odds with the law. Last year, it withheld approval for a Texas Medicaid payment because of “Medicaid redistribution” concerns. After Texas sued, and a court found that CMS exceeded its authority, the agency backtracked and approved the waiver.

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