Federal Funding

News & Analysis as of

Changes to Medicaid Expansion in the American Health Care Act:  State-by-State Estimates of the Coverage and Fiscal Impact

The House currently is considering the American Health Care Act (AHCA), a bill to repeal and replace the Affordable Care Act (ACA). Among other things, the bill will phase out enhanced federal funding for the expansion of...more

President’s FY 2018 Budget Plan Requests $15 Million to Support Future Implementation of Mandatory Nationwide Use of E-Verify

On March 17, 2017, the Office of Management and Budget (OMB) published the first installment of the Trump Administration’s FY 2018 Budget plan: “America First: A Budget Blueprint to Make America Great Again.” The Budget...more

Third Circuit Endorses Title IX and Title VII Claims of Medical Resident

Should a medical resident alleging sexual harassment and retaliation be treated as: (i) an employee who can seek relief under Title VII; (ii) a student who can seek relief under Title IX; or (iii) both? And if the answer is...more

Administration’s OMB budget blueprint proposes 13% cut and elimination of many HUD programs

The Office of Management and Budget (“OMB”) released the Trump administration’s budget blueprint today, providing a general overview of the budget request it intends to present to Congress later this Spring. As outlined, the...more

Trump’s Budget Blueprint Sets Regulatory Posture

The Trump administration has published its budgetary Blueprint. The Blueprint notes the 2018 Budget is being unveiled sequentially in that the Blueprint provides details only on discretionary funding proposals. The full...more

Key Provisions of the American Health Care Act

On March 6, 2017, Republicans in the House of Representatives unveiled two bills that aim to repeal and replace the 2010 Patient Protection and Affordable Care Act (ACA). The bills, collectively called the American Health...more

Trump’s Trillion Dollar Infrastructure Investment Promise

A Trillion Dollar infrastructure investment is a good start, even though it’s highly unlikely that Congress would pass a bill requiring such a large expenditure. No one studying the issue doubts that the nation could probably...more

The Walking Dead in Medicaid

On March 6, House Republicans revealed The American Health Care Act. It is their plan to repeal and replace the Affordable Care Act. The bill changes the structure of Medicaid financing from the Federal Medical Assistance...more

Faster Pace of Interest Rate Hikes

As we indicated on February 16, 2017 the Federal Reserve is looking at interest rate hikes for 2017. At a speech in Chicago today Chairwoman Janet Yellen said it is likely the Federal Reserve will increase the federal funds...more

Capped Federal Medicaid Funding: Implications for Texas

Since its inception, Medicaid has been fi nanced jointly by the federal and state governments. There are no caps on the federal government’s fi nancial obligations; federal funding is guaranteed as a share (known as a...more

Whither EPA

President Trump has proposed a dramatic cut in funding for the Environmental Protection Agency, the new EPA Administrator has suggested rollbacks in regulations, and there are even proposals to abolish the Agency entirely. ...more

What do the recently proposed HHS Rule and GOP Reform Outline mean for the Health Care Industry in Minnesota?

Late last week, two major proposals arose that will have a significant impact on the health care industry. First, the Trump Administration’s Department of Health and Human Services (HHS) under new HHS Secretary Tom Price...more

Bills Introduced in General Assembly Targeting Sanctuary Jurisdictions

A pair of bills has been introduced in the PA House of Representatives and State Senate that would deny state grants and other benefits to “sanctuary jurisdiction” municipalities, colleges and universities....more

Legislative and Other Challenges to Immigration Executive Order

Following recent ICE arrests of 680 individuals in the Los Angeles, Chicago, Atlanta, San Antonio, and New York City areas, Senators Catherine Cortez Masto (D-Nev.), Richard Durbin (D-Ill.), and Tammy Duckworth (D-Ill.)...more

Major Effects of Revised Common Rule on Regulation of Clinical Research in New York

On January 19, 2017, the U.S. Department of Health and Human Services (HHS), together with 15 other federal Departments and Agencies, issued a final rule to revise and modernize the federal Policy for the Protection of Human...more

Guv Fends Off Trump Bashers as GOP Readies Medicaid Bomb for MA

It looks like Charlie Baker has for the time being thwarted the practitioners of outrage -- they who were demanding from him at least daily denunciations of President Trump, notwithstanding the Commonwealth’s...more

Private vs. Public Infrastructure Funding Debate Continues

Speculation continued this week in Washington, D.C. on infrastructure funding plans, with municipal bonds being discussed during a panel at the National Association of State Treasurers 2017 Legislative Conference, according...more

Trump Executive Order Targets Sanctuary Cities—But How Will it Be Implemented?

On January 25, President Trump signed an Executive Order (EO) on Enhancing Public Safety in the Interior of the United States. The EO is primarily intended to reduce the independent authority of “sanctuary cities” across the...more

Key issues facing the UK residential care home sector

Historical backdrop - The collapse of over 750 care homes operated by the Southern Cross group in 2011 following rapid expansion financed by the sale of leases of its homes exposed the financial risks inherent in the...more

Update: Trump's Busy First Week of Office

As reported last week in Bradley’s Governmental Affairs alert in A Sign of Things to Come? Trump’s Regulatory Freeze and Other Early Actions, the Trump administration took immediate action with regard to the Affordable Care...more

President Trump's Immigration Executive Orders: An Overview

In his first week in office, President Trump moved quickly to follow through on campaign promises relating to immigration. He issued three executive orders that addressed border security, immigration enforcement, and the U.S....more

The Trump Infrastructure Plan: Still Many Questions, But Perhaps Some Insights

Moments after President Donald Trump was sworn into office, he reiterated in his Inaugural address the promise that “[w]e will build new roads, and highways, and bridges, and airports, and tunnels, and railways all across our...more

$1 Billion in Credit Assistance Now Available from EPA’s New Water Infrastructure Program

On January 10, 2017, the U.S. Environmental Protection Agency (EPA) announced the availability of $1 billion in credit assistance for water infrastructure projects under the new Water Infrastructure Finance and Innovation Act...more

The Trump Infrastructure Plan

There is plenty of uncertainty surrounding what President-elect Donald Trump’s infrastructure plan will be. What is certain is that: 1.) things will move quickly in Washington, D.C. in the coming weeks and 2.) now is the time...more

Village of Asharoken Opts Out of Federal Beach Project

Asharoken, N.Y. January 10, 2017–Swayed by public opinion and perceived elitism, the Incorporated Village of Asharoken (“Asharoken”) opted out of a federal beach nourishment plan implemented by the Army Corp of Engineers...more

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