- The Trump administration implements a harsher Medicaid approach through new CMS rules.
- New developments include Congress passing a Medicaid reconciliation bill and experts commenting on CMS rules issued by the Trump administration.
Medicare Actuary Certification Required for Medicaid Waivers
What happened
A provision within a budget reconciliation law requires all states seeking approval or renewal of Medicaid waivers to receive certification from the Medicare actuary. This certification must confirm that the waiver will not increase federal spending. The provision was enacted in Section 71118 of the law.
From thefederalist.com
Why it matters
The requirement affects Medicaid waivers, which currently encompass roughly one-third of Medicaid spending. This change formalizes the Medicare actuary's role as a mandatory gatekeeper for these waivers, impacting how states manage federal healthcare funds.
Congress recently passed a Medicaid reconciliation bill, and the Trump administration is implementing new rules regarding Medicaid.
From thefederalist.com
Who's involved
- Donald TrumpThe administration implementing new budget measures and administrative changes affecting Medicare and Medicaid.
- MedicareThe federal health insurance program whose actuary must certify that Medicaid waivers will not increase federal spending.
- CongressThe legislative body that passed the budget reconciliation law containing the waiver certification provision.
- Department of Health & Human ServicesThe government department responsible for managing new cost certification processes related to Medicaid waivers.
Who could feel it
Possible knock-on effectsThese are possibilities Brind reasoned out, not predictions, and not advice. Most are not stated in any report.
- Department of Health & Human ServicesSpeculative
The Department of Health & Human Services might face increased costs related to managing new cost certification processes for Medicaid waivers.
How it developed
Newest first. Tap a step to see who reported it.- Trump signed a bill and Congress set up a $50 billion fund for rural healthcare, impacting Medicaid in Arkansas.Sub-event
- New Mexico faces a financial mandate to fund increases in healthcare services due to significant federal budget cuts outlined in HR1.Sub-event
- Pritzker discusses how the Trump administration, through the White House, is allegedly enacting cruelties by taking away Medicare benefits.Sub-event
Budget law requires Medicare actuary certification as Trump administration changes Medicaid practices.1 source
Keep exploring
The entities involved
-
Donald Trump
American businessman and politician (born 1946), President of the United States (2017–2021; since 2025)
-
Medicare
US federal health insurance
-
Congress
US record label; imprint of Congress Record Corp.
Related events
- Proposed legislation (H.R.1) linked to Donald Trump is under discussion, with witnesses testifying about changes affecting both Medicare and Medicaid coverage.
- A report analyzes policy changes under the Trump administration affecting healthcare and Medicare.
- Donald Trump proposes a budget funded by cuts, specifically impacting Medicare.
- Trump is attempting to incorporate costs into a spending bill, involving the Congressional Budget Office.