The Medicaid and CHIP Payment and Access Commission (MACPAC) issued its June 2025 Report to Congress (PDF) on June 11, covering a variety of topics organized into five chapters.
The first chapter of the report included four recommendations to address the challenges associated with transitioning from pediatric to adult care in Medicaid. The second chapter provides an overview of access to residential behavioral health treatment services for children and discusses access considerations and barriers to appropriate care. The third chapter described findings from the commission’s analysis of access to medications for opioid use disorder (MOUD) in Medicaid and outlines barriers to MOUD, which the commission plans to continue in future sessions. The fourth chapter provides an overview of the Program of All-Inclusive Care for the Elderly, which allows adults ages 55 and older with intensive care needs to remain in the community while receiving integrated care. The report also included a discussion of the self-direction model as a coverage option for Medicaid home- and community-based services.