Advocacy Organizations Push Back Against House-Passed Medicaid Cuts

July 9, 2025

medicaid

Following the release of the Senate Finance Committee’s reconciliation package, the Modern Medicaid Alliance and more than 190 leading health care organizations said they are “deeply concerned” with the proposal to further cut Medicaid. Their letter to Senate Majority Leaders noted, “The proposals released yesterday go even further to undercut the program…Rather than upholding President Trump’s promise to ‘love and cherish Medicaid,’ these policies will fundamentally undermine the Medicaid program that has been a lifeline and safety net for families across the country.”

Families USA also led a letter to Senate Majority Leaders signed by 86 national and state organizations urging the senators to reject the bill because it would “directly eliminate health coverage for roughly 11 million people, a number that jumps to 16 million when factoring in the bill’s assumption that enhanced premium tax credits will expire, further increasing families’ health costs.”

legislation

Virginia and Hawaii Introduce PDAB Legislation

The Virginia Senate introduced a bill to establish a Prescription Drug Affordability Board (PDAB) to review drugs with a wholesale acquisition cost (WAC) of $60,000 or more per year or a WAC increase of $3,000 or more in any 12-month period. For drugs deemed to cause an affordability challenge, the legislation authorizes the PDAB to […]
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February 12, 2026

EGWP marketplace medicaid Medicare

Solutions

AHIP Shares Update on Plan Progress to Simplify Prior Authorization

AHIP shared progress on the voluntary, multi-year commitments made by AHIP, BCBSA, and leading health plans (including Cigna Healthcare) to streamline and simplify prior authorization. Health plans serving nearly 270 million Americans are participating in this initiative. The 2026 commitments took effect on Jan. 1 and include: reducing the scope of claims subject to prior […]
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February 12, 2026

EGWP marketplace medicaid Medicare

legislation

DOL Issues Proposed Rule on Improving Transparency into PBM Fees

Pursuant to President Trump’s Executive Order “Lowering Drug Prices by Once Again Putting Americans First,” the Department of Labor’s (DOL’s) Employee Benefits Security Administration (EBSA) issued a proposed rule that would require providers of PBM services and affiliated entities of brokerage and consulting services to disclose direct and indirect compensation to their self-funded ERISA fiduciary […]
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February 12, 2026

EGWP marketplace medicaid Medicare

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