Opioid Epidemic and the Repeal of ACA/Medicaid Block Grant

Evidence is all around that the country is facing another drug abuse crisis.  Not surprisingly that crisis is impacting the number of children entering foster care.  Child welfare will continue to be effected by increased drug epidemic and that could become even more significant if Congress repeals the ACA, block grants Medicaid and does not

HHS Secretary May Not Get Ok Until Mid-February  

Next Wednesday Congressman Tom Price will go before the Senate HELP Committee for what will be one of two committee hearings.  The hearing before HELP will be important but it is the Senate Finance Committee that is responsible for confirming his nomination.  Finance is working on the Treasury nomination later this week and is expected

Senate Jumps on ACA Repeal

By early afternoon of January 3, 2017 Senate Republican began the process of a repeal of the Affordable Care Act.  Senator Mike Enzi (R-WY) introduced a Senate Budget Resolution (S.Con.Res.3) and debate began with a clock of 50 hours of Senate debate.  The resolution will eventually provide a reconciliation process to fast track the repeal

House Rule Could Threaten Unauthorized and Mandatory-Funded Programs

In organizing the House last Tuesday, the House of Representatives agreed to a rule that could threaten the existence of programs that have not been reauthorized (e.g. Child Abuse Prevention and Treatment Act, CAPTA, Juvenile Justice and Delinquency Prevention Act, JJDPA) and programs that receive mandatory funding (e.g. Promoting Safe and Stable Families, SSBG, CHIP,

First HHS Secretary Hearing Scheduled  

A number of cabinet-designees will face committee hearings this week in a prelude to committee and Senate approvals baring any controversies.  Congressman Tom Price has been scheduled for a hearing before the HELP Committee on January 18 but his position requires hearings before both HELP and Finance Committees.  Only Finance votes to approve the HHS

Repeal Of ACA First Up, Medicaid Block Grant on List

The new 115th Congress officially starts on January 3.  Behind the scenes discussion have been on-going on using a 2017 budget resolution (left over from last year) to very quickly provide the first budget reconciliation. The process will start this week with the Senate expected to pass a budget resolution this week and the House

In Case You Missed It, HHS Issues Final Regulations and Guidance

Although the new Congress can repeal all regulations issued since early June 2016, the Administration continued to issue key guidance on human service programs through HHS. On Wednesday, December 14, HHS published final regulations for the updated Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations and requirements.  AFCARS data reported by states annually

Congress and President-In-Waiting Big Changes on Horizon

The new 115th Congress will come together for the first time on January 3 and is expected to get to work on a 2017 budget resolution very quickly to provide the first budget reconciliation.  The new Congress will be working around the Monday, January 16, Martin Luther King holiday followed later that week by the

HHS Releases Final Regulations on AFCARS

On Wednesday, December 14, HHS published final regulations for the updated Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations and requirements.  AFCARS data reported by states annually helps to build a profile of the “child welfare” population by producing annual numbers on children in out-of-home (foster) care, adoptions and youth aging out to

HHS Issues Guidance on Medicaid to 26 for Youth Formerly in Foster Care

Last week HHS issued a CMS Information Bulletin, on how states can extend Medicaid coverage to young people up to age 26 if they aged out of foster care and then later move to another state. Under the ACA young people who exited foster care have mandatory coverage under Medicaid to the age of 26. 

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