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Medicaid continues to dominate HHS budget; committee presses on enrollment, FMAP and federal risk

2510195 · March 5, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Sarah Acre, executive director of medical services, described Medicaid's scale, enrollment and federal match considerations; senators asked where possible federal cuts would fall and how the state budgets for provider rates and claims processing.

Sarah Acre, Executive Director of Medical Services, told the Senate Appropriations Committee that Medicaid and CHIP account for a large share of HHS spending and outlined enrollment and financing details.

Nut graf: Medicaid drives most HHS spending and touches a large share of North Dakotans. Committee members asked where potential federal cuts would hit the state and sought clarification on claims processing, provider rate-setting and the state's FMAP (Federal Medical Assistance Percentage).

Enrollment and budget Acre said the Medicaid/CHIP biennial budget is about $2.9 billion and that roughly 97% of Medicaid dollars are…

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