August 6, 2020

The Medicaid expansion ballot measure, which voters approved by a margin of 53% to 46%, makes Missouri the 38th state to expand Medicaid under the Affordable Care Act, in today's bite-sized hospital and health industry news from Maryland, Missouri, and New York.

  • Maryland: CMS on Tuesday finalized a rule to update Medicare's Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) for fiscal year 2021, which will expand the services that non-physician practitioners are allowed to provide at IRFs and will eliminate a requirement that physiciansevaluate patients within a patient's first 24 hours of admittance to an IRF. The final rule also will increase Medicare payment rates under the IRF PPS by a total of 2.8%, or about $260 million, for FY 2021 when compared with FY 2020, CMS said in a fact sheet (Cirruzzo, Inside Health Policy, 8/4 [subscription required]; CMS fact sheet, 8/4).
  • Missouri: Voters in Missouri on Tuesday approved a ballot measure to expand the state's Medicaid program under the Affordable Care Act (ACA). The measure, which voters approved by a margin of 53% to 46%, makes Missouri the 38th state to expand Medicaid under the ACA. Under the measure, Missouri will extend eligibility for Medicaid coverage to state residents with annual incomes that are lower than 133% of the federal poverty level. The expansion is slated to take effect on July 1, 2021 (Erickson, St. Louis Post-Dispatch, 8/5; Weixel, The Hill, 8/5).
  • New York: Oxiris Barbot, New York City's health commissioner, resigned on Tuesday amid increasing tensions between officials at the NYC Health Department and Mayor Bill de Blasio's (D) office over de Blasio's handling of the city's coronavirus epidemic. In a news conference on Tuesday, de Blasio acknowledged Barbot's service for the city and announced a new health commissioner, Dave Chokshi, who is a physician and former senior leader at NYC Health + Hospitals (Goodman, New York Times, 8/4).

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