States should implement creative Medicaid reforms, expert says
- On May 9, 2025, US Conference of Mayors President Andrew Ginther and CEO Tom Cochran sent a letter from Washington urging preservation of Medicaid during the House Energy & Commerce Committee's markup of the reconciliation bill.
- They wrote in response to proposed Medicaid cuts and eligibility changes in Congress that threaten to undermine programs addressing behavioral health, substance abuse, and public safety progress in American cities.
- A survey released on May 6 covering 68 cities reported notable decreases in violent crime during the first quarter of 2025, with homicides and robberies both falling by 20%, rape decreasing by 14%, and aggravated assault dropping 11%; these improvements underscore Medicaid’s contribution to enhancing community stability and reducing crime.
- The mayors stated, "Medicaid is a vital public safety tool" that keeps officers focused on violent crime while EMS respond first to mental health and addiction crises, which they called "public safety challenges."
- They warned cuts would increase homelessness and crime, strain local governments and health providers, and reverse gains in safety, urging opposition to Medicaid reductions to sustain community health and security.
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Guest commentary: Keep Medicaid whole, keep families whole
Living in Idaho, our family has too many blessings to count. We get to raise our kids on our small farm in Eagle, and we enjoy taking advantage of all that Idaho offers. But the biggest blessing to our family…


States Should Implement Creative Medicaid Reforms, Expert Says
(The Center Square)–As congressional Republicans struggle to find ways to reduce federal spending on Medicaid without affecting vulnerable people, some have eyed shifting part of the cost burden onto states. To finance President Donald Trump’s expensive priorities laid out in the Republican $5.8 trillion budget reconciliation framework, which includes extending the 2017 Tax Cuts and Jobs Act, House committees must find varying levels of spending…

States should implement creative Medicaid reforms, expert says
(The Center Square) – As congressional Republicans struggle to find ways to reduce federal spending on Medicaid without affecting vulnerable people, some have eyed shifting part of the cost burden onto states.
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