New Medicaid rules allow states to set premiums and higher co-payments

A new federal rule (published November 25 in the Federal Register) gives states sweeping authority to charge premiums and higher co-payments for doctors’ services, hospital care and prescription drugs provided to low-income people under Medicaid, according to a November 26 New York Times article.
The rule is expected to save money for the federal government and the states. But public health experts and even some federal officials predicted that many low-income people would delay or forgo care because of the higher charges. Under the new rule, states can, in many cases, deny care or coverage to Medicaid beneficiaries who do not pay their premiums or their share of the cost for a particular item or service.

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