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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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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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In New Letter, Mayors Raise Concern Over Proposed Cuts to Medicaid and Effect on Public Safety in Cities

Bill being considered by the House threatens progress on public safety and homelessness

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healthcaredive.com broke the news in on Friday, May 9, 2025.
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