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The Record

The week on the record

16 records · 5 issues

Analysis

By issue

Medicaid financing and eligibility operations

Coverage is already falling before work requirements start: Michigan Medicaid has lost more than 80,000 people since January, and Texas's application backlog grew to more than 210,000 in August. Plan changes add to it: Healthy Blue leaves Louisiana Medicaid on December 31, moving more than 290,000 members on January 1. Comments on CMS's provider-tax implementation rule closed September 21 with no extension; the final rule is next. (as of )

Medicaid work-requirement implementation

Enrollees and physician groups filed a second challenge, Taylor v. Kennedy, on September 18, aimed at the rule's medical-frailty provisions. CMS told states on September 8 to check frailty against claims, encounter and health information exchange data first. The federal rule is in effect and every state must apply it no later than January 1, 2027. A federal court denied preliminary relief in Massachusetts v. Oz without deciding the merits. Montana begins removals for noncompliance on October 1, and Kentucky's three-of-six-month lookback is already running. (as of )

Government · Massachusetts Executive Office of Health and Human Services

MassHealth opens statewide help paths as August member notices begin

Event:

MassHealth's August 11 statewide campaign says members are receiving direct notices, texts, emails, calls, webinars, and outreach through community organizations before work requirements and six-month eligibility checks begin January 1, 2027.

ACA marketplace coverage and uninsured demand

Pennsylvania approved an average 15.97% increase for 2027 individual plans. The enhanced premium credits have expired and states are now approving 2027 rates: Washington approved an average 22.2% increase and Connecticut 11.3% for individual plans. In New York, nearly 192,000 of the roughly 450,000 people who lost expanded Essential Plan coverage had not enrolled in new coverage by July 31. (as of )

Immigration enforcement, public charge and immigrant eligibility

Twenty-one states, Pennsylvania's governor and D.C. sued on September 14 to stop the new public charge rule. A separate federal change narrows which lawfully present immigrants qualify for Medicaid on October 1; Indiana, North Carolina and Michigan have each published how it will apply. The court has set an initial conference for October 9, and the rule remains in effect. In New Jersey, as many as 25,000 noncitizens could lose coverage on October 1. (as of )

State health elections and ballot measures

California votes November 3. The official voter guide for Proposition 44 names nonprofit FQHCs and authorizes criminal charges; more than 100 health centers have joined the No campaign. South Dakota's ballot carries Amendment I, which puts a funding condition on its Medicaid expansion. In Georgia, the Republican nominee for governor pledges Medicaid expansion that keeps work requirements. (as of )

The next two weeks

Public dates in the 14 days after Aug 9, 2026.

Updated records

Records published earlier that changed this week: a correction, a new status or a replaced source.

Other records

3 records with no linked issue

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