Dossier
Medicaid statute
Coverage of Medicaid statute in the Nexus archive.
- Trump administration tightens oversight of state Medicaid demonstration programs
The Trump administration announced stricter financial oversight for Medicaid demonstration waivers, requiring certification from the CMS chief actuary to ensure programs do not increase federal spending. Starting January 1, 2024, states must provide detailed spending analyses and align applications with Medicaid statute objectives, reversing prior policies that expanded waiver flexibility.