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Medicaid

Coverage and Delivery Reform

Medicaid is a joint federal and state safety net program that assists over 60 million low-income individuals in receiving access to clinician offices, acute and long term care services. Teaching hospitals treat a disproportionate share of Medicaid patients, with approximately 28% of all Medicaid discharges coming from COTH hospitals.

Medicaid also plays a critical role in funding graduate medical education. State and local governments, through their Medicaid programs, appropriate approximately $5 billion for medical school training annually. Most states choose to allocate a portion of their Medicaid budget to fund direct graduate medical education (DGME), indirect medical education (IME), and other special services related to teaching hospitals. Due to state budget shortfalls and the prevalence of Medicaid managed care organizations, there are serious concerns that fewer Medicaid funds will be available to train future physicians.


News and Updates


House Subcommittee Advances ACE Kids Act

September 7, 2018

The House Energy and Commerce Health Subcommittee Sept. 7 advanced several health care bills to the full committee, including The Advancing Care for Exceptional Kids Act of 2017 (ACE Kids, H.R. 3325). The bill uses the health home option that exists in current statute to create specially designed health homes for children with medically complex conditions to improve quality and reduce Medicaid spending.


GAO Issues Report on Characteristics of 340B Hospitals

July 20, 2018

The Government Accountability Office (GAO) July 18 released a report on the characteristics of hospitals that participate in the 340B Drug Pricing Program. The report compares certain characteristics of 340B and non-340B hospitals and describes how the characteristics of these hospitals changed after some states expanded Medicaid coverage.


AAMC Submits Comments to HHS on Drug Pricing Blueprint

July 20, 2018

The AAMC July 16 submitted comments to Health and Human Services (HHS) Secretary Alex M. Azar II in response to the administration’s plan to lower prescription drug prices, “American Patients First: The Trump Administration Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs.”


CMS Announces Medicaid Program Integrity Initiatives

June 29, 2018

The Centers for Medicare and Medicaid Services (CMS) June 26 announced three new initiatives in its efforts to strengthen Medicaid program integrity. Medicaid spending has increased over $100 billion from 2013 to 2016, and the federal share increased by roughly $100 billion, spawning CMS’s reconsideration of its current integrity efforts. CMS notes that it seeks to strengthen integrity through transparency, accountability, and innovative analytics.


Energy and Commerce Committee Holds Mark-Up of Five Public Health Bills

June 29, 2018

The House Energy and Commerce Committee June 27 held a mark-up of five public health bills; the Title VIII Nursing Workforce Reauthorization Act of 2017 (H.R. 959), the Palliative Care and Hospice Education and Training Act (H.R. 1676), the Educating Medical Professionals and Optimizing Workforce Efficiency Readiness Act of 2017 (EMPOWER Act, H.R. 3728); the Children’s Hospital GME Support Reauthorization Act of 2018 (H.R. 5385), and a discussion draft of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2018.


On Government Affairs



Testimony and Correspondence





External Resources