Issue Briefs | Feb 10, 2025

Recommendations for States as They Create Medicaid Beneficiary Advisory Councils: Thoughts From People With Medicaid Experience Who Have Served on Medicaid Committees

Jessica Greene, Diane Gibson, Nancy Aries, and Kori Mascheck, the Baruch College Medicaid Lived Experience Learning Team

The Centers for Medicare & Medicaid Services issued a rule in April 2024 requiring states to establish a Medicaid Beneficiary Advisory Council (BAC) by July 2025 to provide states with guidance on the program from people with lived experience. This issue brief offers recommendations for states developing BACs, drawing on insights from people with Medicaid experience (PME) who have served on existing Medicaid committees as well as from nonprofit staff who supported PME in these roles.


Expert Perspectives

March 14, 2025

Recent Federal Marketplace Proposal Imposes New Requirements for States and Consumers

On March 10, 2025, the Centers for Medicare & Medicaid Services released a proposed regulation that makes several policy and operational changes to the Affordable Care Act Marketplaces and insurance rules. This expert perspective reviews provisions of the proposed rule to assess their impact on State-Based Marketplaces and state insurance regulators.

Medicaid Cuts and the States: Tracking State-Specific Estimates of the Impacts of Proposed Changes

Congress is considering a variety of federal policy changes that will have significant impacts on the Medicaid program, widely expected to reduce enrollment and federal Medicaid funding to states. A variety of state-level estimates have been released, which can be helpful for states as they consider how various policy proposals might impact their Medicaid programs. This expert perspective highlights state agencies that have estimated and quantified the potential impacts of various proposals on enrollment and spending. SHVS will continue to regularly monitor published estimates from states and update this expert perspective.