The Centers for Medicare & Medicaid Services (CMS), part of the U.S. Department of Health and Human Services, has announced an administrative hearing scheduled for April 2, 2025, to review its decision to reject Idaho's proposed Medicaid State Plan Amendment (SPA) 24-0015. This amendment sought to provide continuous Medicaid coverage to pregnant individuals throughout their pregnancy and for 12 months after, but excluded those whose pregnancies ended due to abortions not falling within Idaho state law. CMS disapproved this amendment, stating it didn't align with federal requirements mandating coverage regardless of how a pregnancy ends. Individuals or organizations wishing to participate in the hearing must submit their requests by March 11, 2025.
Simple Explanation
The Medicare & Medicaid folks are having a meeting to talk about whether Idaho’s idea to give special health care coverage to pregnant people should be allowed. They didn't agree because Idaho's plan leaves out some people if the pregnancy ends in a way that's not covered by Idaho's rules, which isn't what the federal rules allow.