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CMS Moves to Shut Down Medicaid Loophole—Protects Vulnerable Americans, Saves Billions

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would close a Medicaid tax loophole exploited by states to inflate federal payments to states, and free up state funds for non-Medicaid purposes. Some states have exploited these tax loopholes to take money from federal Read more about CMS Moves to Shut Down Medicaid Loophole—Protects Vulnerable Americans, Saves Billions
Fact Sheets

Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule

Section 1902(a)(2) of the Social Security Act (the Act) requires states to share the responsibility of financing the Medicaid program with the federal government, by providing at least 40 percent, depending on the state, of reimbursement for expenditures under the state plan. There are several ways Read more about Preserving Medicaid Funding for Vulnerable Populations - Closing a Health Care-Related Tax Loophole Proposed Rule
Press Releases

CMS Releases Draft Guidance for the Third Cycle of Medicare Drug Price Negotiation Program to Lower Drug Prices for American Patients

The Centers for Medicare & Medicaid Services (CMS) is issuing draft guidance for public comment on the third cycle of negotiations under the Medicare Drug Price Negotiation Program (Negotiation Program). The draft guidance includes policies that will improve the transparency of the Negotiation Read more about CMS Releases Draft Guidance for the Third Cycle of Medicare Drug Price Negotiation Program to Lower Drug Prices for American Patients
Press Releases

NIH, CMS Partner to Advance Understanding of Autism Through Secure Access to Select Medicare and Medicaid Data

WASHINGTON, DC—MAY 7, 2025—The National Institutes of Health (NIH) and the Centers for Medicare & Medicaid Services (CMS) today announced a landmark partnership to enable NIH to build a real-world data platform enabling advanced research across claims data, electronic medical records, and consumer Read more about NIH, CMS Partner to Advance Understanding of Autism Through Secure Access to Select Medicare and Medicaid Data
Press Releases

Statement from CMS Administrator Dr. Mehmet Oz on Letter to State Medicaid Agencies

As a doctor and now CMS Administrator, my top priority is protecting children and upholding the law. Medicaid dollars are not to be used for gender reassignment surgeries or hormone treatments in minors – procedures that can cause permanent, irreversible harm, including sterilization. We have a duty Read more about Statement from CMS Administrator Dr. Mehmet Oz on Letter to State Medicaid Agencies
Fact Sheets

Fiscal Year 2026 Skilled Nursing Facility Prospective Payment System Proposed Rule CMS 1827-P Fact Sheet

On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2026. CMS is publishing this Read more about Fiscal Year 2026 Skilled Nursing Facility Prospective Payment System Proposed Rule CMS 1827-P Fact Sheet