The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021 as a signature effort to assist in the recovery from the COVID-19 pandemic and the related economic downturn. Included as part of the sweeping legislation is a program to fully subsidize COBRA coverage for six months starting in April of 2021. This expert perspective provides a short overview of COBRA and mini-COBRA, the major elements of the ARPA COBRA Assistance program, and considerations for state policymakers related to the program.
Medicaid and the Indian Health Service: States to Receive Additional Federal Funds
Deborah Bachrach and Julian Polaris, Manatt Health Solutions
Recently, the Centers for Medicare and Medicaid Services (CMS) announced plans to increase the range of Medicaid services furnished by Indian Health Services (IHS) eligible for 100 percent federal match. This proposal, which will effectively reduce states’ cost for Medicaid expansion and buffer the impending decrease in the federal matching rate for newly eligible adults after 2016, may be of particular interest to states with a significant American Indian and Alaskan Native (AI/AN) population. Recent research by Manatt Health Solutions has examined the fiscal implications of Medicaid expansion. The first and second reports explored state budget savings and revenue gains associated with expansion, while the third specifically examined the impact of expansion on uncompensated care spending and related state budget implications, and the fourth investigated the potential impact of expansion on criminal justice costs. This issue brief, the fifth in this series prepared by Manatt Health Solutions, examines proposed rules that offer states additional federal funding for Medicaid services to American Indians and Alaskan Natives.