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HCA officials flag federal and state budget uncertainty that could affect Medicaid services
Summary
Health Care Authority staff told Spokane regional leaders that changing federal leadership, reduced agency staffing and the budget reconciliation process could put Medicaid financing and related programs at risk; the agency is preparing analyses and sharing data with the governor and congressional delegation.
Representatives of the Washington State Health Care Authority used a regional meeting to warn that federal changes and state budget work could materially affect Medicaid funding and services in Washington.
HCA speakers said communications with federal agencies were limited during January and February, but have resumed; they noted staffing reductions at federal agencies including the Centers for Medicare & Medicaid Services (CMS) and the Substance Abuse and Mental Health Services Administration (SAMHSA). The agency said a number of federal demonstration projects have been ended early and that new federal rule‑making or waiver guidance is uncertain.
HCA outlined two near‑term fiscal risks: a potential U.S.…
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