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The Centers for Medicare & Medicaid Services (CMS) proposed the Medicaid Fiscal Accountability Regulation (MFAR) just days before it issued its final policy requiring hospitals to publish negotiated rates for shoppable services in November. CMS couched both rules as charging forward with the Trump Administration’s promise for transparency and integrity, but health care stakeholders nationwide have sounded alarms about the access issues MFAR could create. States and health associations have been troubled by the proposed reallocation of discretion to the federal government away from states and its implications for how states would legally be able to fund their Medicaid share. Also in Policy Brief:

• MedPAC Drafts Recommendations for Medicare Reimbursements
• Trump Administration Proposes Weaker School Lunch Standards
• Supreme Court Permits Public Charge Policy
• CMS Releases Guidance for New Medicaid Block Grant Program
• In Other News