The Centers for Medicare & Medicaid Services (CMS) published an Interim Final Rule (IFR) (91 Fed. Reg. 31698) on June 3, 2026, introducing mandatory work requirements for specific Medicaid beneficiaries, as required by HR1, the reconciliation … [Read more...] about CMS Implements Strict Medicaid Work Requirements
Archives for July 2026
The Urgent Need for Stronger Action against Nursing Homes that Provide Grossly Inadequate Care
Two nursing home chains in a Midwest state have had extremely poor records for care for years, but remain certified for Medicare and Medicaid and continue to be reimbursed. Unfortunately, these chains are not unique. Many chains and many individual … [Read more...] about The Urgent Need for Stronger Action against Nursing Homes that Provide Grossly Inadequate Care
Know Jimmo | You Do Not Have to Decline
You do not have to decline in order to receive Medicare coverage for care to maintain or slow declineToo often Medicare beneficiaries are told the care they are receiving to maintain their condition has to end and, if they decline, then they can … [Read more...] about Know Jimmo | You Do Not Have to Decline
Medicare’s Annual Fee Schedule Released
The Centers for Medicare & Medicaid Services (CMS) released the annual Physician Fee Schedule proposed rule on July 14, 2026. CMS has published a Fact Sheet that summarizes the proposed policy changes for Medicare payments under the Physician Fee … [Read more...] about Medicare’s Annual Fee Schedule Released
MA Attorney General Settles with Nursing Home Chain Over Chronic Understaffing
Following referrals from the Massachusetts Department of Public Health, the Massachusetts Attorney General’s Office began an investigation of nursing homes in Massachusetts owned by Bear Mountain Healthcare, a Connecticut-based nursing home chain. … [Read more...] about MA Attorney General Settles with Nursing Home Chain Over Chronic Understaffing
DOJ Office of Legal Counsel Issues Memo Attempting to Undermine the Integration Mandate for Older People and People with Disabilities
On June 18, 2026, the U.S. Department of Justice’s (DOJ) Office of Legal Counsel (OLC) issued a highly controversial memorandum opinion targeting one of the most important civil rights of people with disabilities - the right to live and receive … [Read more...] about DOJ Office of Legal Counsel Issues Memo Attempting to Undermine the Integration Mandate for Older People and People with Disabilities
Jimmo v. Sebelius 15 Years After Filing: It’s Still the Law and It Still Matters
Fifteen years ago, 81 year-old Glenda Jimmo was denied Medicare coverage for home health care despite the fact that she met all the law’s coverage standards. She was unable to leave home, she had a physician’s order for home care, and needed skilled … [Read more...] about Jimmo v. Sebelius 15 Years After Filing: It’s Still the Law and It Still Matters
Mouths Matter in Medicare
Study Backs Link Between Oral Health and Overall HealthA 2025 study from King’s College London reinforced the connection between oral health and overall health. The study found that successful root canal treatment could reduce inflammation linked … [Read more...] about Mouths Matter in Medicare
Center for Medicare Advocacy Supports New Bills to Strengthen Traditional Medicare
The Center for Medicare Advocacy (CMA) supports two bills that were recently introduced in Congress. The Medicare Cost Cap Act would create a $5,000 out-of-pocket cap in traditional Medicare for Part A and B expenses. The bill would also improve the … [Read more...] about Center for Medicare Advocacy Supports New Bills to Strengthen Traditional Medicare
July 4, 2026 is Deadline to Identify Who Will Be Kicked Off of Medicare
As our nation celebrates our 250th anniversary this weekend, the Commissioner of the Social Security Administration (SSA) faces a deadline to determine who will be terminated from Medicare early next year. H.R.1, the One Big Beautiful Bill, was … [Read more...] about July 4, 2026 is Deadline to Identify Who Will Be Kicked Off of Medicare