The 2025 reconciliation bill introduces substantial Medicaid funding cuts and changes to ACA enrollment, with significant implications for healthcare access and provider reimbursement across the U.S.

Proposed Medicaid work requirements under congressional review pose risks of coverage loss for millions, especially caregivers dependent on flexible Medicaid policies. Historical and administrative challenges highlight potential disenrollment risks.

Survey by Civitas Networks for Health shows Medicare Quality Improvement Organizations generated $4.7B savings and highlights recommendations for program enhancements focusing on data interoperability, onsite training, and workforce retention.

Wyoming adopts a Medicare birthday rule allowing seniors to switch Medicare Supplement plans annually without denial, boosting competition and affordability in the Medigap market.

CMS launches a six-year pilot requiring pre-authorizations for 17 medical services in traditional Medicare across six states, aiming to control costs and reduce service overuse.

The Senate pushes forward a large tax cut and spending bill with significant Medicaid cuts and a projected $3.3 trillion debt increase over 10 years, amid internal GOP opposition and policy debates.

The GOP budget bill proposes Medicaid cuts that risk reversing coverage gains and strain rural healthcare systems, impacting millions including 660,000 in North Carolina.

Proposed Medicaid work requirements in Utah threaten health access and increase costs, with federal funding playing a major role and past state experiences highlighting risks.

The Muscular Dystrophy Association warns of Senate legislation causing Medicaid and Medicare cuts, risking coverage for neuromuscular disease patients and urging House to reject these health care reductions.

The Supreme Court's challenge to the ACA preventive services mandate could disrupt no-cost hepatitis C screenings covered by insurance, affecting early diagnosis, treatment, and associated healthcare savings.