How Do Medicaid/CHIP Children with Special Health Care Needs Differ from Those with Private Insurance? June 12, 2019 Issue Brief This issue brief compares the demographics, health status, access to care, and coverage affordability of Medicaid/CHIP children with special health care needs to those with private insurance and those who are uninsured. Medicaid plays a key role for children with special health care needs by making coverage affordable and covering services that private coverage typically does not. Consequently, legislative proposals that would cap and reduce federal Medicaid funding may pose a particular risk to children with special health care needs and their providers. A companion brief describes Medicaid’s role for children with special health care needs.
Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending June 12, 2019 Issue Brief This issue brief describes the role that Medicaid plays for children with special health care needs. It explains common eligibility pathways, covered services, and program spending for these children. The Appendix includes 50-state data on the number of children with special health care needs covered by Medicaid/CHIP. A companion brief compares key characteristics of Medicaid/CHIP children with special health care needs to those covered by private insurance.
What Initiatives Are States Considering To Control Prescription Drug Costs in Medicaid? February 21, 2018 News Release Rising Medicaid spending on prescription drugs has prompted many states to look for new ways to control such costs. Although drug spending increased more slowly in 2016 than in the previous two years, and although such expenditures constitute only six percent of all Medicaid spending (compared to 10% of national…
Snapshots of Recent State Initiatives in Medicaid Prescription Drug Cost Control February 21, 2018 Issue Brief This issue brief provides a snapshot of current state initiatives aimed at addressing the cost of prescription drugs in Medicaid.
Custom State Reports April 5, 2018 Interactive An interactive tool for building custom reports compiling health-related data for a single state or multiple states. Reports can be shared and downloaded.
Under the President’s FY2019 budget, Medicare Part D enrollees would pay more out of pocket before qualifying for catastrophic coverage, but nothing after. February 15, 2018 Slide
Summary of Recent and Proposed Changes to Medicare Prescription Drug Coverage and Reimbursement February 15, 2018 Issue Brief On February 9, 2018 the President signed into law the Bipartisan Budget Act of 2018, which included some provisions related to Medicare Part D prescription drug coverage. Shortly thereafter, the Office of Management and Budget released the President’s fiscal year (FY) 2019 budget, which also included several proposals related to Medicare Part D drug coverage and Part B drug reimbursement. This brief summarizes these recently enacted and proposed changes.
Analysis: Insurance Riders to Cover Abortion Services Not Available to Women in States That Restrict Abortion Coverage February 14, 2018 News Release In 10 states, insurance plans are currently banned from including abortion as a covered service in state-regulated private plans — all individually purchased policies and fully-insured group plans. Most of these laws do not include exceptions for rape, incest, or health endangerment. In nine of these states, insurers may sell…
Abortion Riders: Women Living in States with Insurance Restrictions Lack Abortion Coverage Options February 13, 2018 Issue Brief This data note explores the extent to which abortion riders are available in the states that restrict abortion coverage in state-regulated private plans and permit insurance carriers to sell abortion riders.
Changes to “Public Charge” Inadmissibility Rule: Implications for Health and Health Coverage August 12, 2019 Fact Sheet A final rule by the Trump Administration would make changes to “public charge” policies that govern how use of public benefits may affect individuals’ immigration status. This fact sheet provides an overview of the proposed changes and their implications for legal immigrant families and their predominantly U.S.-born citizen children.