CMS-2452-P Medicaid provider-tax rule starts comment clock, $246B projected savings

Plus: Senate HELP postpones CDC director vote, chairman says he has votes anyway. The day's rules, money, and enforcement, sourced and tiered below.

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Plus: Senate HELP postpones CDC director vote, chairman says he has votes anyway. The day's rules, money, and enforcement, sourced and tiered below.

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The Regulator Friday, July 24, 2026
CMS-2452-P Medicaid provider-tax rule starts comment clock, $246B projected savings
Plus: Senate HELP postpones CDC director vote, chairman says he has votes anyway. The day's rules, money, and enforcement, sourced and tiered below.
Record
A Medicaid rule capping how much states can tax hospitals and nursing homes to draw extra federal matching money started its public comment clock yesterday, the kind of rule that shapes what your local hospital gets paid.
CMS-2452-P phases in lower thresholds starting October 2027, then steps down 0.5 points a year to 3.5% by 2032. CMS's own actuaries project it cuts federal Medicaid spending $246 billion over 10 years. Comments due September 21.
Record
The Senate committee that oversees the CDC was set to vote yesterday on Robert F. Kennedy Jr.'s pick to run the agency, then postponed it, but the chairman says he already has the votes to confirm her anyway.
Chairman Bill Cassidy delayed the vote after Sen. Lisa Murkowski's absence for a family emergency, then said he'll back nominee Erica Schwartz after CDC changed website language on vaccines and autism. Next vote: July 30.
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