Congress recently passed and the President signed a sweeping spending bill that funds the government through March 23 and paves the way for a longer-term spending agreement. The legislation—the Bipartisan Budget Act of 2018 (P.L. 115-123, BBA of 2018)—also contains a number of health care provisions important to people with Medicare and their families.

The Medicare Rights Center has analyzed the bill, with a focus on changes to Medicare and other programs serving older adults and people with disabilities that we support, those we oppose, and those we will be monitoring closely.

Last week, Medicare Rights explored some of the looming risks to health coverage and affordability created by recent administrative efforts to undercut the Affordable Care Act (ACA). As we noted then, the Trump administration has proposed several new rules that would allow insurers to offer coverage that does not meet the standards set by the ACA. In addition, Congress has taken steps to undermine the ACA’s coverage by repealing the individual mandate in last year’s tax bill, despite evidence that doing so would cause millions to lose coverage. Together, these changes threaten to undermine the design and achievements of the ACA. Now the Urban Institute, a nonpartisan research organization, and Avalere, a nonpartisan health consulting firm, have released studies that add concrete numbers to these risks.

Last month, Congress passed sweeping legislation that funds the federal government for six weeks and paves the way for a longer-term spending agreement. While the bill also makes significant changes to Medicare and other health care programs, both good and bad, it excludes several important reforms the Medicare Rights Center supports. Today, we asked Congress to include these policies in essential spending legislation they are expected to consider later this month.

This week, economist Austin Frakt outlined the economic and health impacts associated with Medicaid’s lack of dental coverage for adults in many states. These associations range from an increased risk of cancer and heart disease, to complications for pregnancy, to social stigma and difficulty finding work.
While Medicaid requires dental coverage for children, coverage for adults is optional. Currently, there are 17 states that offer comprehensive adult dental benefits.
Medicaid’s lack of a comprehensive adult dental benefit in most states makes the health and well-being of people with Medicaid less robust. But Medicaid’s sparse dental coverage is still superior to the coverage Medicare offers most beneficiaries.

Together with Medicare and Medicaid, the Affordable Care Act (ACA) builds health security for people of all ages. Repealing or undercutting the ACA without a meaningful replacement would jeopardize the health and well-being of millions. Accordingly, we are concerned that several recent proposals from the Trump administration could undermine the health law and destabilize the public and private insurance markets.

Late last week, Congress passed and the President signed a sweeping spending bill that will fund the government through March 23 and raise the spending caps imposed by the Budget Control Act of 2011 for two years, paving the way for a longer-term spending agreement. The legislation – the Bipartisan Budget Act of 2018 (BBA of 2018) – also contains a number of health care provisions important to people with Medicare and their families, including changes to Medicare Part D prescription drug coverage that will close the donut hole in 2019.

This week, President Trump submitted his annual budget request to Congress. The administration’s plan includes legislative proposals and detailed funding recommendations for Fiscal Year 2019 (FY19) which runs from October 1, 2018 through September 30, 2019.

Congress is trying to pass a new budget this week that includes many important Medicare provisions. One of these provisions is a worrisome extension of past practices: increasing the amount some people must pay for their Medicare benefits.

Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories. These essential documents, which beneficiaries depend on to make informed plan selection and provider choices, have long been a source of frustration and confusion for Medicare beneficiaries and advocates.

The Trump Administration recently announced that it will allow states to require Medicaid recipients to work, take job training, or do community service to stay eligible for the program. To date, ten states have asked to make this change, and the administration has given the greenlight to the first—Kentucky.