$246B Medicaid provider-tax rule closes for comment
Plus: All 50 states apply to CMS's Medicaid drug-pricing model. The day's rules, money, and enforcement, sourced and tiered below.
Plus: All 50 states apply to CMS's Medicaid drug-pricing model. The day's rules, money, and enforcement, sourced and tiered below.
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Monday, September 21, 2026 |
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$246B Medicaid provider-tax rule closes for comment
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Plus: All 50 states apply to CMS's Medicaid drug-pricing model. The day's rules, money, and enforcement, sourced and tiered below.
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Record
Medicare's overseer wants to cut $246 billion from Medicaid over the next decade by rewriting how much hospitals and nursing homes can be taxed to help pay for it. Public comment closes today.
CMS's CMS-2452-P rule sets new state-by-state limits on Medicaid provider taxes starting Oct 1. Its own actuaries project $246 billion less in federal Medicaid spending through 2035.
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Record
Every US state, DC and Puerto Rico just applied to a Medicaid drug-pricing deal that ties what state programs pay to prices other wealthy countries get. 40 have already signed on.
CMS's GENEROUS Model launched in January and runs 5 years. Holdout states have until September 30 to sign. CMS projects $64.3 billion in Medicaid drug savings over the next decade.
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