Literature Review
All posts tagged with “Guest Editors | Judi Lund Person.”
Tracking the Medicare Provisions in the 2025 Reconciliation Bill | KFF
07/15/25 at 03:20 AMTracking the Medicare Provisions in the 2025 Reconciliation Bill | KFF KFF; updated 7/8/25 Similar to the chart for Medicaid provisions in the 2025 Reconciliation Bill, KFF also provides details on the changes for Medicare. Topics include eligibility policies, physician payment, prescription drugs, rules for Pharmacy Benefit Managers (PBMs), nursing homes – including the prohibition of implementation, administration, or enforcement of the minimum staffing levels requirement until October 1, 2034, and funding for HHS to “contract with AI contractors and data scientists to identify and reduce Medicare improper payments and recoup overpayments.Guest Editor’s Note, Judi Lund Person: The chart of Medicare provisions confirms that implementation of the Medicare eligibility and enrollment final rule will be delayed until October 1, 2034, except for those provisions that have already taken effect. The Senate version enacted into law also has a temporary one-year increase of 2.5% in the Physician Fee Schedule conversion factor for all services furnished between January 1, 2026 and January 1, 2027 and a delay of the nursing home staffing final rule until October 1, 2034. It is helpful to have the chart in a usable form for reference on the final bill enacted into law.
Tracking the Medicaid Provisions in the 2025 Reconciliation Bill | KFF
07/15/25 at 03:10 AMTracking the Medicaid Provisions in the 2025 Reconciliation Bill | KFF KFF; updated 7/8/25The chart tracking the Medicaid provisions in the House and Senate-passed version of the bill includes the following topics: Medicaid Expansion, Eligibility Policies, Financing, Long-term Care, Access, and Prescription Drugs. The chart outlines details of the current law, House-passed bill, Senate-passed bill (enacted into law) and KFF Resources. Of particular note are the final work requirements in the statute, prohibiting the implementation, administration, or enforcement of certain provisions in both the CMS “Eligibility and Enrollment” final rules until October 1, 2034, and limits retroactive coverage to one month prior to application for expansion enrollees and two months prior to application for coverage for traditional enrollees, effective January 1, 2027. On July 1, 2025, KFF posted a CBO estimate of federal Medicaid spending reductions across the states including charts for components of the federal Medicaid cuts in the Senate reconciliation bill and a map of federal Medicaid cuts by state. Guest Editor’s Note, Judi Lund Person: While the details of the Medicaid provisions are daunting to understand and then apply to Medicaid enrollees in your area, I found this chart to at least organize the issues and track what happened between the House and Senate-passed versions, including what was enacted into law. More will likely unfold as we hear more from HHS and CMS about implementation.
KFF publishes summaries of Health Provisions in the 2025 Federal Budget Reconciliation Bill
07/15/25 at 03:00 AMKFF publishes summaries of Health Provisions in the 2025 Federal Budget Reconciliation BillKFF; updated 7/8/25 On July 3, the House passed the same version of the budget reconciliation bill passed by the Senate on July 1. On July 4, President Trump signed the legislation into law . KFF published this summary to describe the health care provisions in the law (described as the Senate-passed bill) in four categories: Medicaid, the Affordable Care Act, Medicare and Health Savings Accounts (HSAs). It also compares the provisions to a earlier draft of the bill passed by the House on May 22. Guest Editor’s Note, Judi Lund Person: KFF was formerly known as the Kaiser Family Foundation but since KFF is not a foundation and has no connection to Kaiser Permanente, they are now called simply KFF. They state “As a one-of-a-kind information organization, we bring together substantial capabilities in policy research, polling, and journalism in one organization to meet the need for a trusted, independent source of information on national health issues—one with the scope and reach to be a counterweight to health care’s vested interests and a voice for people.”