Trump administration tightens oversight of state Medicaid demonstration programs

By: Nada Hassanein

Outlets: Stateline

Published: June 18, 2026

Words: 470

Last Updated: 2 weeks, 1 day ago

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The Trump administration told states last week it will exercise more stringent financial oversight of waivers that states use to design pilot programs under Medicaid, the state-federal program for low-income people and those with disabilities.

In letters sent to state Medicaid directors, the administration announced the changes to Section 1115 “demonstration waivers,” which states apply for and use to test innovative pilot programs that expand Medicaid coverage or benefits. It’s the latest in a series …

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