Assistant Professor of Health Policy and Politics at @hsph.harvard.edu I study how administrative burdens impede health insurance coverage, strategies to reduce these barriers, and the politics of health reform she/her/Michigander adriannamcintyre.com
Have been wondering about this sort of possibility… if not a legislative rider, as suggested here, perhaps an exercise of the Congressional Review Act (though I’m not holding my breath)
elizabethginexiTop senators consider blocking the OMB rule. www.politico.com/live-updates...
The deadline for commenting on the interim final rule on Medicaid work requirements is tomorrow at midnight. So far, CMS has received almost 73,000 comments. www.regulations.gov/document/CMS...
Had a lot of thoughts while listening to this — not all of them polite — including continuing to marvel that Nebraska did not scale up their Medicaid staff at all in anticipation of work requirements
Meet the Man Launching Trump's Medicaid Work Requirements Months EarlyNebraska Medicaid Director Drew Gonshorowski says the state’s data capabilities put it in a strong position to quickly implement the historic changes. Advocates and researchers warn that eligible peop...tradeoffs.orgThis was always a concern with this case — not that the states are wrong on the merits of the Medicaid work requirements regulation, but that any challenge isn't "ripe" yet because implementation is still very much ongoing
Alice Miranda OllsteinThe judge said the 25 states that sued didn't convince him they'd suffered enough harm yet to justify a preliminary injunction, but stressed they could still win down the road since the case "presents difficult issues” about Dr. Oz's “faithfulness to Congressional intent.” Ruling here:
uh huh www.nytimes.com/2026/07/23/s...
Maybe less jaw-dropping, but similar flavor: if you unpacked the scoring criteria for Rural Health Transformation Program funding — largely left to the discretion of CMS to define — they sure did seem to favor red states... academic.oup.com/healthaffair...
tony rommNEW: In a stunning admission, the Trump administration admitted in court documents that it canceled billions in energy grants to states "based solely" on politics -- and whether that state was represented by Democrats and backed Harris in 2024. www.nytimes.com/2026/07/24/b...
The AMA and Massachusetts Medical Society filed an amicus brief in support of the states suing the federal government over their work requirements regulation: www.courtlistener.com/docket/73546...
Amicus brief filed – #89 in Commonwealth of Massachusetts v. Oz (D. Mass., 1:26-cv-12962) – CourtListener.comAmicus brief filedwww.courtlistener.comHad missed that there's legislation percolating in Ohio to do away with managed care in Medicaid (MCOs currently cover > 90% of non-elderly, non-disabled enrollees, including 96% of kids)
Ohio doesn't need to scrap managed care. It needs to sharpen it. • Ohio Capital JournalOhio lawmakers have been debating a measure that would upend the state's Medicaid managed care system altogether. They're not wrong that Ohio's managed care program has room for improvement, but scrap...ohiocapitaljournal.comNew white paper from myself + colleagues: Implementation of Medicaid Work Requirements: Key Design Considerations and Strategies to Minimize Avoidable Coverage Loss hsph.me/Medicaid-Wor... We synthesize evidence in the peer-reviewed and gray literature to identify key lessons + recommendations
If you tried to mad libs a paper title to get me to click you couldn't do much better than this: The role of nonfinancial factors in the Congressional Budget Office’s health insurance coverage projections www.pnas.org/doi/abs/10.1...
Immediately bookmarked for next year’s regulatory politics class
Sam BagenstosNot for nothing, but it’s exactly the sort of thing I’m describing in my new paper on how the unitary executive theory has inflamed a crisis in public health. papers.ssrn.com/sol3/papers....
Great resources linked in Sarah's thread. I found this two-page "take action flyer" from @elizabethginexi.bsky.social especially helpful for pulling together comments — due today — quickly: drive.google.com/file/d/1ppq4...
Sarah GollustDid you write your comment yet on the OMB rules on federally funded science yet? No? Don’t worry, you can do it this weekend. Here are some resources that can help you get started.
People who do seasonal work — like farmworkers — are at elevated risk of coverage loss from Medicaid work requirements. It's much harder to automate compliance determinations for seasonal work. While there are policy accommodations, documentation burdens will be worse for seasonal workers.
They Harvest the Nation’s Food, but a New Rule May Strip Them of Health Insurance - KFF Health NewsNew Medicaid work requirements could make a complex system even harder for farmworkers to navigate.kffhealthnews.orgSupport fell from 52% to 40% when eliminating private insurance and increased taxes were invoked. Offered a hypothetical federal plan or their current insurance, 70% say they'd rather keep with their current coverage. (This is not actually terribly surprising if you follow polling in this space.)
Zeteo‘A First-of-Its-Kind’ Poll About Medicare for All A centrist think tank offered to conduct an exclusive poll for Zeteo to gauge Americans’ attitudes about Medicare for All. Here’s what we found: zeteo.com/p/medicare-f...
Oof. Centene to exit Arkansas's Medicaid expansion program, where it currently covers one third of enrollees, next year, at the same time that work requirements take effect — meaning many enrollees will have to navigate both new paperwork obligations *and* a plan transition/possible network changes
Health insurer Centene to stop participating in Arkansas’ Medicaid expansion | Arkansas AdvocateDHS will transfer enrollees in the three Centene plans to other plans for which they are eligible, an agency spokesperson said.arkansasadvocate.com