CHIP

Lapse In Federal Funding Puts Child's Insurance Program At Risk

Oct 3, 2017

Congress finally seems ready to take action on the Children’s Health Insurance Program after funding lapsed Sept. 30.

Before the deadline, lawmakers were busy grappling with the failed repeal of the Affordable Care Act.

Charla Douglas, who had a bad experience with TennCare, and her adoptive mother, Lynda Douglas in Hartsville, Tennessee
Jay Hancock / Kaiser Health News

Sweeping proposals disclosed Tuesday would create profit guidelines for private Medicaid plans as well as new standards for the plans’ doctor and hospital networks and rules to coordinate Medicaid insurance more closely with other coverage.

“We are taking steps to align how these programs work,” said Andy Slavitt, acting administrator of the Centers for Medicare & Medicaid Services, which proposed the rules.

They said it couldn't be done. And for more than a decade they were right.

But on Thursday, staring at a deadline that could have disrupted health care to millions of seniors, the House got something done.

It voted to fix the flawed formula for compensating doctors who provide services to patients under Medicare. But this time it wasn't just a patch for a few months or years — like the ones Congress has done 17 times since 2003.