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Health plans will continue to cover recommended immunizations with no cost-sharing through the end of 2026, AHIP says.
The total marks a nearly 50% increase in community benefit spending from 2017 to 2022.
CMS said it’s taking action to end the duplicate enrollments, saying it could potentially save taxpayers about $14 billion annually.
The bill keeps provisions that are expected to cut $800B in Medicaid funding while adding more stringent work requirements.
Medicaid cuts would be expected to increase uncompensated care for hospitals as 7.6 people become uninsured.
CMS calls the scheme perpetuated in Democratic states California, Massachusetts, New York and swing state Michigan "money laundering."
House GOP members are demanding cuts of at least $1.5 billion in federal spending, but Senate Republicans are divided.
Starting Jan. 1, 2026, payers must send prior authorization decisions within 7 days and expedited decisions within 72 hours.
Cuts in Medicaid would likely mean that many beneficiaries would lose coverage, leading to more uncompensated care for hospitals.
Hospitals would face the largest revenue losses and burden of uncompensated care increases, report finds.
