On August 5, a bipartisan group of senators released a bill intended to reform the 340B drug program. This legislation…
Expertise: Medicaid Finance
Summary of CMS Proposed Rule (CMS-2452-P): Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes
CMS released the proposed rule “Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes” (CMS-2452-P) on July…
Response to CMS State Directed Payment Proposed Rule (CMS-2449): Public Comment Summary and Advocacy Opportunities
On May 20, 2026, CMS published a proposed rule that would impose significant restrictions to Medicaid state directed payments (SDPs),…
Summary of CMS State Medicaid Director Letter (SMDL #26-003): Budget Neutrality and Certification by the Chief Actuary for Section 1115 Medicaid Demonstration Projects
On June 11, 2026, CMS released State Medicaid Director Letter (SMDL) #26-003, Budget Neutrality and Certification by the Chief Actuary…
Summary of Community Engagement Interim Final Rule
On June 1, 2026, CMS released an interim final rule with comment period (IFC) that implements Section 71119 of H.R….
Summary of CMS Proposed Rule (CMS-2449): Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments
CMS released the proposed rule “Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments” on May…
Alicia Adkins
Summary of Public Comments Submitted in Response to CMS’s CRUSH RFI
The Trump administration has elevated Medicaid, Medicare, and Affordable Care Act (ACA) program integrity as a central domestic policy priority. The…
Executive Summary of Proposed State Budgets FY2027
The budgeting process in many states often begins with the executive branch, as the governor releases a recommended budget for…
Orriel Richardson
Jeff Mistich
Dwayne Robertson