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Idaho Congressman introduces bill to extend STLD health plans
An Idaho Congressman has introduced legislation to extend and expand private short‑term health insurance plans, reports the Idaho Capital Sun. The bill, known as the Removing Insurance Gaps for Health Treatment (RIGHT) Act of 2025, would allow short‑term limited‑duration insurance (STLDI) plans to cover individuals for up to one year with the option to renew […]
Read MoreAI will soon have a say in approving or denying some AZ Medicare claims
Arizona will be one of six states participating in a new federal Medicare pilot that uses artificial intelligence to review medical claims and require prior authorization for certain services, reports Arizona Central. Beginning January 1, 2026, the six-year Wasteful and Inappropriate Service Reduction (WISeR) Model will allow AI to contribute to determinations of medical necessity […]
Read MoreCuts to Medicaid Disability Services spur financial concerns for Arizona parents
Arizona revised policies governing Medicaid-funded disability services after massive cuts to supports for developmentally disabled children sparked outrage from families and advocates, reports Arizona Mirror. Many families say the changes remain confusing and unclear as they struggle to understand how service hours and support will be affected. Despite some concessions, cuts to services are still […]
Read MoreArkansas to Continue Allowing the Sale of Short-Term Limited Duration Health Plans
Arkansas will allow insurers to sell short-term limited duration insurance (STLDI) during a federal review period, reports the Arkansas Center for Health Improvement. In August, the U.S. Departments of Labor, Health and Human Services announced plans to revisit STLDI plans, and that would not punish states for failing to enforce current STLDI regulations or for applying their […]
Read MoreFederal Program Won’t Cover Medicaid Funding Loss to West Virginia Hospitals
Despite receiving up to $100 million a year for five-years under the Rural Health Transformation Project created by the 2025 Budget Reconciliation Bil (“OBBB”), West Virginia hospitals are expected to lose more than $1 billion annually in Medicaid funding when the Act’s cuts take full effect, reports West Virginia Watch. Hospital leaders warn that reduced resources could […]
Read MoreMichigan Extends Insurer Tax to Preserve Medicaid Funding
The state of Michigan recently passed legislation to extend its Insurance Provider Assessment tax, which generates about $630 million annually and supports roughly $1.75 billion in federal matching funds for the state’s Medicaid program, reports Becker’s Payer Issues. The plan calls for seeking a waiver from Centers for Medicare & Medicaid Services to maintain current tax rates. […]
Read MoreMichigan State Budget Includes Full Funding for Medicaid
Michigan’s new state budget was passed by Governor Gretchen Whitmer on October 7, reports the Michigan Heath and Hospital Association. Included in the budget was full funding for Medicaid and the Healthy Michigan Plan, the restoration of Specialty Network Access Fees, continued support for rural and obstetric stabilization pools, preserved funding to support Maternal Levels of […]
Read MoreIdaho Faces $60m Medicaid Shortfall
The Idaho Department of Health and Welfare is requesting an additional $60 million this fiscal year to cover rising costs in the Medicaid program, even after reducing provider payment rates, reports the Idaho Capital Sun. The state is also facing a broader budget shortfall and has ordered general-state-agency cuts, adding pressure to Medicaid funding. If the supplemental […]
Read MoreMissouri Expands Hearing Aid Coverage for MO HealthNet Enrollees
Missouri has passed a law to improve access to medically necessary cochlear implants and hearing instruments for eligible Medicaid enrollees, reports the Daily Journal. SB 79 requires MO HealthNet (Missouri Medicaid) carriers to cover these devices for all eligible consumers. Prior to this bill, hearing aids were only reimbursed for eligible needy children, pregnant women, and blind persons.
Read MoreIdaho Reduces Medicaid Provider Rates by 4%
Idaho will cut Medicaid reimbursement rates by 4% starting September 1 to address budget shortfalls, reports KTVB 7. State officials argue the reductions are necessary to control spending, but hospitals and providers warn the policy will reduce access, especially in rural areas. Critics say the cuts could drive some providers out of Medicaid, forcing patients to pay […]
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