Billy Wynne

Agency Tightens Medicaid and CHIP Oversight as Upcoming HR1 Changes Reshape Eligibility for Immigrants; Begins Rolling Out Monthly Reports Flagging Medicaid Enrollees With Unconfirmed Citizenship or Immigration Status The Centers for Medicare and Medicaid Services (CMS) announced a new nationwide oversight initiative yesterday aimed at removing ineligible Medicaid and CHIP enrollees by ensuring all enrollees…

Department Issues RFI on State Laws with Out-Of-State Economic Impacts as Trump Administration Rescinds Biden-Era Executive Order on Competition; Comments on the RFI Due Sept. 15 The Department of Justice (DOJ), in partnership with the National Economic Council, launched an initiative to examine state laws that may significantly and negatively affect the national economy or…

President Trump Issues EO to Bolster the Strategic API Reserve Yesterday, President Trump issued an executive order (EO) entitled: “Ensuring American Pharmaceutical Supply Chain Resilience by Filling the Strategic Active Pharmaceutical Ingredient (API) Reserve.” This EO seeks to builds on President Trump’s first term EO on combatting public health emergencies and strengthening national security by…

Agency Hosts Listening Session on Modernizing Real-Time Claims Processing & Enhancing EDI Cybersecurity The Centers for Medicare & Medicaid Services (CMS) convened a listening session to gather industry input on two key priorities: real-time claims processing in Medicare and Electronic Data Interchange (EDI) cybersecurity controls. These efforts are part of CMS’s strategy to strengthen Medicare’s…

Agency Shares WISeR FAQs Amid Concern From Democrats About the Model The Centers for Medicare and Medicaid Services (CMS) released a set of frequently asked questions (FAQs) on the Wasteful and Inappropriate Service Reduction (WISeR) Model. WISeR will implement technology-enabled prior authorization in Original Medicare for a select set of services to help providers steer beneficiaries to safer,…

Medicaid Updates: Recent Legislation, State Plan Amendment Approvals, Funding Announcements, and Pending Regulations Overview Congress and the Centers for Medicare and Medicaid Services (CMS) have both taken a range of actions recently related to Medicaid. This includes legislation to modify Medicaid changes included in the One Big Beautiful Bill (H.R. 1), a range of state plan amendment (SPA)…

President Trump Issues Executive Order to Improve Oversight of Federal Grantmaking; Would Prohibit Funding For Initiatives not Consistent with Agency Priorities and Grant Oversight to Political Appointees President Trump issued an Executive Order (EO) on Improving Oversight of Federal Grantmaking to overhaul how federal discretionary grants are reviewed, awarded, and monitored (fact sheet). The EO…

Department Issues Guidance on Compliance with Federal Antidiscrimination Laws for Recipients of Federal Funding The Department of Justice (DOJ) issued formal guidance outlining how recipients of federal funding, including educational institutions, public agencies, and federal contractors, should interpret and comply with existing federal antidiscrimination laws (press release). The memorandum, Guidance for Recipients of Federal Funding…

Agency Finds NIH Violated Federal Law by Withholding Grant Funds; Ongoing Litigation to Determine Fate of Terminated Awards Yesterday, the Government Accountability Office (GAO) concluded that the National Institutes of Health (NIH) violated the Impoundment Control Act of 1974 (ICA) by withholding billions of dollars in congressionally appropriated grant funding without following the procedures required…

Committee Considers Legislation to Expand Employee Stock Ownership Plan Participation; Markup Scheduled for July 30 The Senate Committee on Health, Education, Labor and Pensions (HELP) held a hearing to examine a suite of bipartisan legislative proposals designed to expand access to Employee Stock Ownership Plans (ESOPs). ESOPs are retirement plans in which a company’s employees…