☕ Serving the tea on Medicaid news, policy, state decisions & healthcare dollars. Data-driven analysis. GA focused. National
Atlanta, GA
Joined November 2026
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Georgia’s Medicaid Crossroads, Part 2 📊
How many Georgians could be enrolled by 2029?
We modeled 3 illustrative scenarios: Georgia Pathways, H.R. 1 & full ACA expansion.
The numbers—and assumptions—matter.
@KeishaBottoms @GaBudget 🧵
🤖 Made with AI
The Medicaid Tea ☕️ retweeted
IT'S OFFICIAL! We've flipped 6 governors’ seats from red to blue: Georgia, Ohio, Iowa, Texas, Nevada, and now ALASKA!
The Medicaid Tea ☕️ retweeted
Huge news, and — whatever you think of work requirements — very necessary after the October 29 court decision vacating CMS's definition of medical frailty.
Two months was never going to be enough time to overhaul systems, enrollee communications, or training materials.
NEWS: The administration is giving states another 6 months before they must enforce Medicaid work requirements.
CMS told Medicaid directors today it's pushing the deadline from Jan. 1 to July 1. People can't be kicked off until then if states opt in.
washingtonsun.com/health/tru…
Official State Medicaid Director Letter to push back Work Requirements to Start July 1, 2027. However states that are ready to implement January 1st may choose to do so.
medicaid.gov/Federal-Policy-…
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The Medicaid Tea ☕️ retweeted
NEWS: The administration is giving states another 6 months before they must enforce Medicaid work requirements.
CMS told Medicaid directors today it's pushing the deadline from Jan. 1 to July 1. People can't be kicked off until then if states opt in.
washingtonsun.com/health/tru…
The Medicaid Tea ☕️ retweeted
The growth of corporate welfare in Medicaid has been substantial since '23.
Enrollment is way down, but inflation-adjusted spending is way up!
Why? The Medicaid money-laundering apparatus produced windfalls for politically powerful hospitals & insurers
paragoninstitute.org/paragon…
The Medicaid Tea ☕️ retweeted
Mississippi Senator-Elect Scott Colom: What I kept telling people is: there are a lot of Republicans that are on Medicaid. There are a lot of Republicans who get their insurance through the ACA. I knew I was talking to issues [Republicans] care about, because I was campaigning and they were telling me: “Thank God someone is talking about the fact that we don’t want to lose our health insurance, we don’t want to lose our hospitals.”
The Medicaid Tea ☕️ retweeted
🚨 BREAKING: Jonathan Kreiss-Tomkins has officially won the Alaska Governors race.
The seat has flipped blue for the first time in 28 years.
History has already shown us what happens when Medicaid work requirements outpace state readiness.
Arkansas: 18K+ lost coverage.
New Hampshire: 17K at risk.
Georgia: Eligibility system challenges and costly administration.
We cannot repeat these mistakes under H.R. 1. CMS must prioritize system readiness and beneficiary protections before coverage is terminated.
NEWS: Democrats @FrankPallone & @RonWyden call on Trump Administration to use its authority to delay implementation of the Medicaid paperwork reporting requirements set to go into effect in January.
democrats-energycommerce.hou…
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The Medicaid Tea ☕️ retweeted
Just a note: As a political media consultant, I love a good, creative ad. But wins like SC, GA, MS, NC and TX don’t come from flashy ads alone. They come from years of organizing, cycle after cycle, with little to no investment and a lot of courage to keep trying. The organizers on the ground are the real heroes of election night, even if most of them never get the national spotlight.
Let's find them invest in them and empower them to keep winning!
The Medicaid Tea ☕️ retweeted
It’s going to look a lot different under the Gold Dome next January! #MadamSpeaker 🍑👩🏾⚖️
House Democrats nominate Carolyn Hugley as Georgia’s first Black speaker bit.ly/4zSYdS7
🍑 Georgia has moved forward with its own CCBHC implementation, but questions remain about why the state never pursued the earlier federal demonstration opportunity.
With Governor-elect Keisha Lance Bottoms preparing to take office in 2027, there’s an opportunity to revisit Georgia’s behavioral health financing strategy.
Will the new administration examine missed federal funding opportunities and explore how Georgia can maximize Medicaid dollars to expand access to mental health and substance use treatment?
Georgia’s next chapter in healthcare policy is worth watching. ☕📊
#MedicaidTea #GeorgiaMedicaid #CCBHC
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The Medicaid Tea ☕️ retweeted
Open enrollment for Affordable Care Act (ACA) marketplace coverage is currently under way in every state! If you're uninsured and don’t have affordable coverage through an employer or through Medicaid or Medicare, you should consider enrolling.
So what happened?
Was the decision driven by political priorities, concerns about state spending, implementation readiness, or something else?
The reason remains an important unanswered question.
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What was at stake financially?
Demonstration participation could have unlocked enhanced federal Medicaid reimbursement, including a 90% federal match for qualifying CCBHC expenditures during the first eight fiscal quarters.
That represents a potentially significant funding opportunity for Georgia’s behavioral health system.
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Here’s where the tea gets interesting. ☕
Georgia received the planning grant but, according to the information available to us, never submitted its demonstration application.
Not rejected. Not denied funding.
An application was never submitted.
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In 2022, the federal government opened an opportunity for states to expand behavioral healthcare through the Certified Community Behavioral Health Clinic (CCBHC) demonstration.
Georgia pursued the opportunity and received $989,667 in federal planning funds in 2023.
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