CMS has finalized a Medicaid rule that closes a loophole that allowed states to extract additional federal funding through Medicaid provider taxes. The rule reinforces and implements a provision of the One Big Beautiful Bill Act. The CBO estimates this provision will save $35 billion through Fiscal Year 2034. CMS estimates the provision will save $78 billion through FY 2036 in their base scenario, and nearly $313 billion compared to a scenario where exploitation of the loophole continues and proliferates across more states.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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