Adam Searing
@adamsearing.bsky.social
Attorney, Research Professor, Georgetown University, McCourt School of Public Policy, Center for Children and Families. Hiker (with Bear), kayaker, sailor, mountain biker, member Chapel Hill Town Council in my spare time.
Read my colleague Leo Cuello's latest on Trump Administration's proposed Medicaid rule going far beyond what Congress mandated in last year's bill cutting Medicaid to make even more unilateral (and likely illegal) large cuts to state Medicaid funding...
ccf.georgetown.edu/2026/05/28/c...
ccf.georgetown.edu/2026/05/28/c...
CMS Triples Harmful Impact of HR 1 Medicaid Provider Cuts in State Directed Payment Proposed Rule
Massive Overreach will Undermine Access to Health Care for People Covered by Medicaid Last week, on May 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released a proposed regulation on...
ccf.georgetown.edu
May 29, 2026 at 3:23 PM
Read my colleague Leo Cuello's latest on Trump Administration's proposed Medicaid rule going far beyond what Congress mandated in last year's bill cutting Medicaid to make even more unilateral (and likely illegal) large cuts to state Medicaid funding...
ccf.georgetown.edu/2026/05/28/c...
ccf.georgetown.edu/2026/05/28/c...
Reposted by Adam Searing
The # of kids enrolled in Medicaid is declining much more quickly than during Trump’s 1st term when the child uninsured rate rose
For families facing cost pressures, even 1 month of a child going uninsured exposes them to dangerous choices
My new blog explains:
ccf.georgetown.edu/2026/05/28/t...
For families facing cost pressures, even 1 month of a child going uninsured exposes them to dangerous choices
My new blog explains:
ccf.georgetown.edu/2026/05/28/t...
Two Million Fewer Children are Enrolled in Medicaid Since Trump Took Office
Child uninsured rate likely on the rise Our state-by-state Medicaid/CHIP enrollment tracker now indicates that 2 million fewer children were enrolled in Medicaid and CHIP as of April, 2026 as compared...
ccf.georgetown.edu
May 29, 2026 at 12:41 AM
The # of kids enrolled in Medicaid is declining much more quickly than during Trump’s 1st term when the child uninsured rate rose
For families facing cost pressures, even 1 month of a child going uninsured exposes them to dangerous choices
My new blog explains:
ccf.georgetown.edu/2026/05/28/t...
For families facing cost pressures, even 1 month of a child going uninsured exposes them to dangerous choices
My new blog explains:
ccf.georgetown.edu/2026/05/28/t...
Reposted by Adam Searing
Our updated @georgetownccf.bsky.social tracker finds that 16 months into President Trump’s 2nd term, Medicaid is covering 2 million fewer children.
This is very bad news b/c the child uninsured rate is likely going up as a result.
And this is before HR 1 Medicaid cuts kick in.
This is very bad news b/c the child uninsured rate is likely going up as a result.
And this is before HR 1 Medicaid cuts kick in.
May 29, 2026 at 12:41 AM
Our updated @georgetownccf.bsky.social tracker finds that 16 months into President Trump’s 2nd term, Medicaid is covering 2 million fewer children.
This is very bad news b/c the child uninsured rate is likely going up as a result.
And this is before HR 1 Medicaid cuts kick in.
This is very bad news b/c the child uninsured rate is likely going up as a result.
And this is before HR 1 Medicaid cuts kick in.
My latest: The "big beautiful bill" passed by Congress last year with nearly $1 trillion in cuts to Medicaid is starting to result in significant closures of rural health and hospital services around the US. And the "rural health fund" isn't a replacement ccf.georgetown.edu/2026/05/01/r...
Rural Hospitals and Communities Feeling Impact of H.R. 1 Medicaid Cuts, Rural Health Fund Falls Short
More stories have been published across the country in recent weeks detailing how the federal cuts to health care passed last year by Congress and signed into law by President Trump in H.R. 1, “The On...
ccf.georgetown.edu
May 1, 2026 at 7:01 PM
My latest: The "big beautiful bill" passed by Congress last year with nearly $1 trillion in cuts to Medicaid is starting to result in significant closures of rural health and hospital services around the US. And the "rural health fund" isn't a replacement ccf.georgetown.edu/2026/05/01/r...
Reposted by Adam Searing
Medicaid cuts threaten hundreds of hospitals, new report finds www.nbcnews.com/health/healt...?
Medicaid cuts threaten hundreds of hospitals, new report finds
Together, the hospitals provide care for nearly 7 million patients across the U.S., according to the analysis.
www.nbcnews.com
April 1, 2026 at 3:51 PM
Medicaid cuts threaten hundreds of hospitals, new report finds www.nbcnews.com/health/healt...?
Reposted by Adam Searing
CCF now has updated its data on #Medicaid and CHIP coverage rates by individual school districts using 5-year American Community Survey estimates. Click on the state and then search by district name: ccf.georgetown.edu/feature/medi...
Medicaid/CHIP Coverage by School Districts, 2020-2024
[Editor’s Note: This page was last updated March 20, 2026] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana I...
ccf.georgetown.edu
April 1, 2026 at 3:56 PM
CCF now has updated its data on #Medicaid and CHIP coverage rates by individual school districts using 5-year American Community Survey estimates. Click on the state and then search by district name: ccf.georgetown.edu/feature/medi...
After listening to the Supreme Court argument around citizenship and the 14th Amendment this morning, my main thought is that @aclu.org's Cecillia Wang makes me very proud to be both a lawyer and an American.
April 1, 2026 at 4:52 PM
After listening to the Supreme Court argument around citizenship and the 14th Amendment this morning, my main thought is that @aclu.org's Cecillia Wang makes me very proud to be both a lawyer and an American.
Reposted by Adam Searing
From my colleague Adam Searing: States are Beginning to Grapple with Federal Medicaid Cuts Impact on Rural Health Care ccf.georgetown.edu/2026/03/31/s...
States are Beginning to Grapple with Federal Medicaid Cuts Impact on Rural Health Care
Over the past week more national media outlets published articles on the effects of federal cuts to health care passed last year by Congress and signed into law by President Trump in H.R. 1, “The One ...
ccf.georgetown.edu
April 1, 2026 at 3:58 PM
From my colleague Adam Searing: States are Beginning to Grapple with Federal Medicaid Cuts Impact on Rural Health Care ccf.georgetown.edu/2026/03/31/s...
Reposted by Adam Searing
@georgetownccf.bsky.social is thrilled to welcome a new colleague this week (though she is not new to many of us).
ccf.georgetown.edu/2026/03/05/c...
Adriana will be working full time tracking the implementation of Medicaid work reporting requirements.
ccf.georgetown.edu/2026/03/05/c...
Adriana will be working full time tracking the implementation of Medicaid work reporting requirements.
CCF Welcomes Adriana Kohler to Our Team
Earlier this week, CCF welcomed Adriana Kohler to our team. Many of us know Adriana from her years as one of our state Finish Line partners in Texas where she served as the Policy Director of Texans C...
ccf.georgetown.edu
March 5, 2026 at 4:59 PM
@georgetownccf.bsky.social is thrilled to welcome a new colleague this week (though she is not new to many of us).
ccf.georgetown.edu/2026/03/05/c...
Adriana will be working full time tracking the implementation of Medicaid work reporting requirements.
ccf.georgetown.edu/2026/03/05/c...
Adriana will be working full time tracking the implementation of Medicaid work reporting requirements.
The Rural Health Transformation Fund: Political Rhetoric Meets Bipartisan Concern as the Program Moves Forward
ccf.georgetown.edu/2026/03/06/t...
ccf.georgetown.edu/2026/03/06/t...
The Rural Health Transformation Fund: Political Rhetoric Meets Bipartisan Concern as the Program Moves Forward
The Trump administration frequently highlights investments in rural health care. While the federal budget bill H.R. 1 (often referred to as the “One Big Beautiful Bill”) passed last year did establish...
ccf.georgetown.edu
March 6, 2026 at 7:39 PM
The Rural Health Transformation Fund: Political Rhetoric Meets Bipartisan Concern as the Program Moves Forward
ccf.georgetown.edu/2026/03/06/t...
ccf.georgetown.edu/2026/03/06/t...
Reposted by Adam Searing
A serious effort to detect fraud against Medicaid would not dump data online with no context.
CMS itself indicates elsewhere on their website that in 22 states the underlying data that was dumped by the Trump Administration was “unusable” or of “high concern”.
CMS itself indicates elsewhere on their website that in 22 states the underlying data that was dumped by the Trump Administration was “unusable” or of “high concern”.
February 25, 2026 at 5:39 PM
A serious effort to detect fraud against Medicaid would not dump data online with no context.
CMS itself indicates elsewhere on their website that in 22 states the underlying data that was dumped by the Trump Administration was “unusable” or of “high concern”.
CMS itself indicates elsewhere on their website that in 22 states the underlying data that was dumped by the Trump Administration was “unusable” or of “high concern”.
Reposted by Adam Searing
Rural health transformation fund” in HR1 was peddled as saving rural hospitals from draconian federal Medicaid cuts.
Yet a rural hospital in Idaho is already on the brink and the fund won’t save them
And this in Sen. Crapo Ch. Senate Finance Ctte’s home state
www.eastidahonews.com/2026/01/perf...
Yet a rural hospital in Idaho is already on the brink and the fund won’t save them
And this in Sen. Crapo Ch. Senate Finance Ctte’s home state
www.eastidahonews.com/2026/01/perf...
'Perfect storm': Why Teton Valley Health Care chose to lay off staff, close infusion clinic - East Idaho News
DRIGGS — Facing difficult decisions as state and federal funding stalls, Teton Valley Health Care administrators made the decision to lay off dozens of employees and close an infusion clinic. In all, ...
www.eastidahonews.com
February 7, 2026 at 12:16 AM
Rural health transformation fund” in HR1 was peddled as saving rural hospitals from draconian federal Medicaid cuts.
Yet a rural hospital in Idaho is already on the brink and the fund won’t save them
And this in Sen. Crapo Ch. Senate Finance Ctte’s home state
www.eastidahonews.com/2026/01/perf...
Yet a rural hospital in Idaho is already on the brink and the fund won’t save them
And this in Sen. Crapo Ch. Senate Finance Ctte’s home state
www.eastidahonews.com/2026/01/perf...
CMS Administrator Oz gets a couple pretty important facts about rural health and the recent federal Rural Health Transformation Fund wrong in a recent video. ccf.georgetown.edu/2026/02/06/f...
Fact-Checking Dr Oz’ Claims About Rural Health Investments
CMS Administrator Mehmet Oz makes two statements in this short video that are not correct: Rural areas and small towns need assistance with health care affordability, quality and accessibility. The Ru...
ccf.georgetown.edu
February 6, 2026 at 8:04 PM
CMS Administrator Oz gets a couple pretty important facts about rural health and the recent federal Rural Health Transformation Fund wrong in a recent video. ccf.georgetown.edu/2026/02/06/f...
Truly amazing reporting from the Minnesota Reformer today
minnesotareformer.com/2026/01/23/8...
minnesotareformer.com/2026/01/23/8...
8 weeks under siege in Minnesota • Minnesota Reformer
Frank has a hard time explaining to his 8-year-old daughter why they rarely leave their home in the Twin Cities. Why she can’t go to school, and why he can’t work. “The only thing we tell her is that ...
minnesotareformer.com
January 23, 2026 at 8:32 PM
Truly amazing reporting from the Minnesota Reformer today
minnesotareformer.com/2026/01/23/8...
minnesotareformer.com/2026/01/23/8...
Trump Administration Severely Limits Funding for Rural Hospitals and Clinics from Rural Health Transformation Fund – Capped at 15%
ccf.georgetown.edu/2025/10/21/t...
ccf.georgetown.edu/2025/10/21/t...
Trump Administration Severely Limits Rural Health Transformation Funds for Rural Hospitals and Clinics – Capped at 15%
Passage of the budget reconciliation law signed into law by President Trump (HR1) will result in a gross reduction of $990 billion in federal Medicaid and CHIP spending over 10 years and an increas…
ccf.georgetown.edu
October 21, 2025 at 5:14 PM
Trump Administration Severely Limits Funding for Rural Hospitals and Clinics from Rural Health Transformation Fund – Capped at 15%
ccf.georgetown.edu/2025/10/21/t...
ccf.georgetown.edu/2025/10/21/t...
Reposted by Adam Searing
From @adamsearing.bsky.social the latest on the budget reconciliation law rural health fund. Trump Admin is telling states they can’t use more than 15% of $ for provider payments including to rural hospitals & wants states to expand enrollment in short term plans. ccf.georgetown.edu/2025/09/19/u...
Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts on Rural Hospitals
I grew up in North Carolina and often split my time between the urban center of the state and some of its most beautiful and rural areas on the back sounds “Down East.” This part of NC is so rural …
ccf.georgetown.edu
September 20, 2025 at 12:10 AM
From @adamsearing.bsky.social the latest on the budget reconciliation law rural health fund. Trump Admin is telling states they can’t use more than 15% of $ for provider payments including to rural hospitals & wants states to expand enrollment in short term plans. ccf.georgetown.edu/2025/09/19/u...
Reposted by Adam Searing
Georgia's Medicaid work requirement program spends more on administrative costs than on providing care and has enrolled less than 3% of the eligible population. Thanks to HR 1, we'll be rolling it out to the whole country. Senseless. @apnews.com apnews.com/article/geor...
Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs
A government watchdog has raised concerns about high administrative costs in Georgia's Medicaid program. The U.S.
apnews.com
September 19, 2025 at 5:39 PM
Georgia's Medicaid work requirement program spends more on administrative costs than on providing care and has enrolled less than 3% of the eligible population. Thanks to HR 1, we'll be rolling it out to the whole country. Senseless. @apnews.com apnews.com/article/geor...
I‘m thinking today about Saint Ignatius, the Budget Reconciliation Bill’s “Rural Health Transformation Fund” and Down East North Carolina:
Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics?
ccf.georgetown.edu/2025/09/19/u...
Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics?
ccf.georgetown.edu/2025/09/19/u...
Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts on Rural Hospitals
I grew up in North Carolina and often split my time between the urban center of the state and some of its most beautiful and rural areas on the back sounds “Down East.” This part of NC is so rural …
ccf.georgetown.edu
September 19, 2025 at 8:13 PM
I‘m thinking today about Saint Ignatius, the Budget Reconciliation Bill’s “Rural Health Transformation Fund” and Down East North Carolina:
Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics?
ccf.georgetown.edu/2025/09/19/u...
Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics?
ccf.georgetown.edu/2025/09/19/u...
Reposted by Adam Searing
ICYMI: from Georgetown CCF and CHIR our comprehensive analysis of the budget reconciliation law's draconian #Medicaid, CHIP, ACA Marketplace cuts as well as other health provisions. We now have an easier-to-print PDF version. ccf.georgetown.edu/2025/07/22/m...
Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained
Editor’s Note: this brief was updated on August 13, 2025 to reflect additional Congressional Budget Office coverage estimates of the reconciliation law issued on August 11, 2025 In partnership with…
ccf.georgetown.edu
September 19, 2025 at 5:37 PM
ICYMI: from Georgetown CCF and CHIR our comprehensive analysis of the budget reconciliation law's draconian #Medicaid, CHIP, ACA Marketplace cuts as well as other health provisions. We now have an easier-to-print PDF version. ccf.georgetown.edu/2025/07/22/m...
Buried in grant docs for HR1 Rural Health Fund:
States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5
www.grants.gov/search-resul...
States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5
www.grants.gov/search-resul...
Lock
www.grants.gov
September 15, 2025 at 9:26 PM
Buried in grant docs for HR1 Rural Health Fund:
States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5
www.grants.gov/search-resul...
States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5
www.grants.gov/search-resul...
Messaging spin v. actual wording of the law that passed Congress:
Coming federal Medicaid cuts hitting state budgets will not be negated by the newly-created but misnamed Rural Health Transformation Program.
ccf.georgetown.edu/2025/09/02/u...
Coming federal Medicaid cuts hitting state budgets will not be negated by the newly-created but misnamed Rural Health Transformation Program.
ccf.georgetown.edu/2025/09/02/u...
Untangling the Current Debate Around Federal Medicaid Cuts, the “Rural Health Transformation Program” and State Medicaid Budgets
The Congressional Budget Office estimates that the budget reconciliation law signed into law by President Trump (HR1) will result in a gross reduction of $990 billion in federal Medicaid/CHIP spend…
ccf.georgetown.edu
September 2, 2025 at 7:27 PM
Messaging spin v. actual wording of the law that passed Congress:
Coming federal Medicaid cuts hitting state budgets will not be negated by the newly-created but misnamed Rural Health Transformation Program.
ccf.georgetown.edu/2025/09/02/u...
Coming federal Medicaid cuts hitting state budgets will not be negated by the newly-created but misnamed Rural Health Transformation Program.
ccf.georgetown.edu/2025/09/02/u...
Reposted by Adam Searing
Senate passed billion reduces federal #Medicaid spending by $1 trillion over 10 years and will have major implications for millions of people who rely on Medicaid coverage, states and providers.
The Senate has just passed what amounts to the biggest health reform plan since the ACA, rolling back many of the health insurance coverage increases achieved by the ACA.
July 1, 2025 at 4:29 PM
Senate passed billion reduces federal #Medicaid spending by $1 trillion over 10 years and will have major implications for millions of people who rely on Medicaid coverage, states and providers.
My home state GOP Senator Thom Tillis dug up the facts and said it best this week on $1 trillion in cuts to Medicaid. @JoanAlker1, Andy Schneider, and I let his words speak for themselves in our new blog. ccf.georgetown.edu/2025/07/01/t...
Truth to Power: A Republican Senator Stands Up for Medicaid and His Constituents; Then Announces Retirement
With Vice President breaking the tie, the U.S. Senate just voted 50-50 “One Big Beautiful Bill Act”, the crown jewel of President Trump’s legislative agenda. With final text not even availabl…
ccf.georgetown.edu
July 1, 2025 at 5:28 PM
My home state GOP Senator Thom Tillis dug up the facts and said it best this week on $1 trillion in cuts to Medicaid. @JoanAlker1, Andy Schneider, and I let his words speak for themselves in our new blog. ccf.georgetown.edu/2025/07/01/t...
Reposted by Adam Searing
@adamsearing.bsky.social and I wrote a blog about the "One Big Beautiful Bill" -- its an attack on the vision of universal coverage of the Affordable Care Act - President Obama's legacy.
ccf.georgetown.edu/2025/06/11/t...
ccf.georgetown.edu/2025/06/11/t...
The “One Big Beautiful Bill” is an Attack on the Affordable Care Act’s Vision of Health System that Works for Everyone
For over 100 years, the unfinished business of creating a health care system that covers all Americans has raged on. With President Obama making this a top priority, in 2010 this effort took an unp…
ccf.georgetown.edu
June 13, 2025 at 3:39 PM
@adamsearing.bsky.social and I wrote a blog about the "One Big Beautiful Bill" -- its an attack on the vision of universal coverage of the Affordable Care Act - President Obama's legacy.
ccf.georgetown.edu/2025/06/11/t...
ccf.georgetown.edu/2025/06/11/t...