Kaylan Szafranski
kszafranski.bsky.social
Kaylan Szafranski
@kszafranski.bsky.social
Medicaid policy @CommunityCatalyst | Former Director of Policy & Research @ NCChild | Long-time health policy advocate rooted in the power and expertise of community
views/posts are my own.
(she/they)
Reposted by Kaylan Szafranski
🚫 Medicaid work requirements don’t work. They add red tape, strip coverage, and harm people with disabilities, even with so-called exemptions.
📊 The truth: Medicaid helps people work. Work requirements don’t. 🎥By @machledtdc.bsky.social & @reprolawyer.bsky.social
healthlaw.org/resource/web...
National Health Law Program - Attorneys | National Health Law Program
Attorneys litigating in state & federal courts & policy advocates fighting to advance access to quality healthcare for low-income & underserved individuals.
healthlaw.org
May 14, 2025 at 8:52 PM
Reposted by Kaylan Szafranski
🚨@nbcnews.com's Berkeley Lovelace Jr. and Sahil Kapur report that GOP's proposed Medicaid cuts could leave millions without coverage. Work requirements & stricter eligibility checks threaten access for millions - Doctors and patients fear worsening health outcomes.
📎 www.nbcnews.com/health/healt...
'Thicket of red tape' for Medicaid in GOP bill sparks fears of coverage losses
Republicans are rallying around work requirements and stricter eligibility screenings for Medicaid. Doctors and critics warn they could strip away coverage for rightful enrollees.
www.nbcnews.com
May 14, 2025 at 5:47 PM
Reposted by Kaylan Szafranski
"This will only worsen the Medicaid medical debt crisis and force hospitals to provide even more uncompensated care," shared @repraulruizmd.bsky.social during today's hearing.

We agree. This bill threatens our entire health care infrastructure, especially in communities already stretched thin.
It’s 4:05 AM, and we’re hearing over and over from Republicans that this bill will not cut benefits. Not true.

When you legislate, you have got to look at the big picture!
May 14, 2025 at 2:08 PM
Reposted by Kaylan Szafranski
"These paperwork requirements won't stop ineligible people from getting Medicaid, it will strip away the coverage they depend on by design," shared @trahan.house.gov during today's hearing, speaking on work requirements.

Work requirements create barriers & eligible ppl will be the ones who suffer.
In the middle of the night, House Republicans are voting to rip health care away from nearly 14 MILLION Americans by gutting Medicaid.

They thought Americans would be too tired to stay awake. They thought we would give up and call it a night.

They were wrong.
May 14, 2025 at 2:16 PM
Reposted by Kaylan Szafranski
Medicaid expansion helps communities stay healthy and lowers the cost of care for everyone.

When more people have coverage, families are stronger, hospitals stay open, and emergency rooms aren’t the only option for care. It’s good policy—and the smart thing to do.
While you were sleeping, @energycommerce.bsky.social Democrats continued fighting to save 13.7 million people from losing health insurance under the House Republican funding bill that effectively guts Medicaid and the Affordable Care Act.
May 14, 2025 at 2:21 PM
Reposted by Kaylan Szafranski
During today’s hearing, Rep. Palmer said, “People who deserve Medicaid won’t lose it.”

The idea that only some deserve care is absurd. We all deserve access to care—period.

Millions of eligible ppl are losing coverage because of red tape & broken systems. If we value care, we must fix the system.
May 13, 2025 at 10:48 PM
Reposted by Kaylan Szafranski
“No one says health care is too affordable. No one says it’s too accessible.”

Thank you, @menendez.house.gov for reminding Congress of the obvious: We should be making it easier to get care — not terminating care for older adults in long-term care, people with disabilities, veterans, & caregivers.
Who in America thinks that healthcare is too affordable or accessible?

Yet today, Republicans are working to pass a bill that cuts healthcare for 13.7m Americans to pay for tax breaks for those who need it the least. Absolutely insane.

Watch 👇
May 13, 2025 at 10:08 PM
Reposted by Kaylan Szafranski
"Who does not need health care?!"

Thank you @repgreglandsman.bsky.social for saying what so many of us are thinking. This bill draws a cruel line between who deserves care and who doesn’t. That’s not just bad policy—it’s dangerous.
Who doesn’t need health care?!

Millions will lose their coverage so congressional Republicans can pay for tax cuts for the super wealthy.

It’s categorically wrong.
May 13, 2025 at 10:28 PM
Reposted by Kaylan Szafranski
You heard The People.

NO CUTS TO MEDICAID!
May 13, 2025 at 6:56 PM
Reposted by Kaylan Szafranski
A9: 48 states have recently extended Medicaid for new moms and pregnant parents with low-incomes – extending health insurance from just 60 days to a full 12 months! Cuts to Medicaid pulls health insurance away from new parents and makes it harder for states to keep these new benefits. #WellnessWed
Q9: How do Medicaid cuts impact women's health services and access to treatment options in states? #WellnessWed #MedicaidMatters #MOMSky
March 12, 2025 at 6:57 PM
Reposted by Kaylan Szafranski
A2: Medicaid is critical in ensuring that women receive preventive services like mammograms and cervical cancer screenings as well as family planning services. Women who get their coverage through Medicaid expansion also get the full range of #ACA preventive services. #WellnesWed
Q2: How does Medicaid coverage specifically address women's preventive health needs? #WellnessWed #MedicaidMatters #MOMSky
March 12, 2025 at 6:19 PM
Reposted by Kaylan Szafranski
A1a: For moms-to-be, it provides crucial care in a country with the highest maternal mortality rate among wealthy nations—care that helps close race and health inequities from pregnancy through postpartum. #WellnessWed
March 12, 2025 at 6:18 PM
Reposted by Kaylan Szafranski
🚨The recent #measles outbreak in Texas exposes systemic failures in public health.

Rising misinformation & weakened #vaccine policies, promoted by Health Secretary RFK Jr., put our communities’ lives at risk. It's time for the public to be at the center of public health: commcat.io/3DlrJYF
March 5, 2025 at 9:03 PM
Reposted by Kaylan Szafranski
A8: Millions of people across the country rely on Medicaid for their addiction treatment, overdose prevention, and recovery support, and Medicaid is the largest payor of substance use disorder treatment in the country. #WellnessWednesday #MedicaidMatters
Q8: How do Medicaid cuts impact mental health services and access to substance use treatment options in states? #WellnessWed #MedicaidMatters
February 26, 2025 at 7:54 PM
Reposted by Kaylan Szafranski
Take away our kids and grandparent’s Medicaid to give tax breaks to billionaires? NO F*#&ING WAY! LISTEN UP, CONGRESS: Families of every race and every place should have the freedom to get the healthcare we need. Call 866-426-2631. Tell Congress #HandsOffMedicaid
February 6, 2025 at 2:21 PM
Reposted by Kaylan Szafranski
#Medicaid cuts have consistently made up much of the total cuts House GOP leaders have been considering. If new goal is $1.5T in spending cuts up from $300B, moderate Rs must push back against it and Freedom Caucus or #Medicaid will face even more draconian cuts. The $1.5T target is also a minimum.
💸 Scoop in this morning’s Early Brief:

The House GOP is kicking around a $1.5 trillion budget number for the “big, beautiful bill,” @mariannasotomayor.bsky.social and I can report.

Still spaghetti-on-the-wall phase of talks, but they’re tilting toward what the Freedom Caucus wants.
February 6, 2025 at 3:37 PM
🗣️Tell Congress: You can't cut $2.3 trillion from Medicaid without hurting children, seniors in long-term care, people with disabilities, and people with low-income jobs. Our voice matters. Call your lawmaker now at 866-426-2631 and tell them: 🚨NO CUTS TO OUR HEALTH CARE 🚨
February 6, 2025 at 3:44 PM
Reposted by Kaylan Szafranski
Per Wired/TPM/NY Times, Musk engineers now have alarming access to both ends of the system for federal #Medicaid $ for states: (1) HHS/CMS payment portal system, the interface for states to request funding and get federal approval and (2) Treasury payment system that actually sends the $ to states.
February 4, 2025 at 6:42 PM
Reposted by Kaylan Szafranski
The White House press secretary tries to make it seem that states being blocked from accessing their federal #Medicaid $ was somehow just a technical glitch, rather than an intentional unlawful act that caused chaos over the last 24 hours.
Statement by White House Pres Sec on #Medicaid
January 28, 2025 at 8:44 PM
Reposted by Kaylan Szafranski
The 2025 poverty level numbers are out. States will start to use them by March/April to determine Medicaid eligibility. They'll be used next fall to determine 2026 Marketplace subsidy eligibility. Here's my summary of how FPL is used in health insurance: www.healthinsurance.org/glossary/fed...
What is the federal poverty level (FPL)? | healthinsurance.org
The federal poverty level (FPL) - also referred to as the federal poverty guidelines – is used to determine eligibility for Medicaid and CHIP, and for premium subsidies and cost-sharing reductions in ...
www.healthinsurance.org
January 16, 2025 at 10:54 PM
Reposted by Kaylan Szafranski
After yesterday's meeting of House Energy and Commerce GOP to discuss #Medicaid cuts Rep. Griffith of VA told Politico that they want to get savings without harming people. But ALL of the cuts being considered would take away coverage/access. #healthpolicy subscriber.politicopro.com/article/2025...
January 15, 2025 at 7:28 PM
I'm so excited to discuss a topic near and dear to my heart- decolonizing data!
Join this free webinar to hear me yap about the importance of centering community in data and how to leverage data in community-centered ways
>>https://bit.ly/4fQNoFx
January 8, 2025 at 3:19 PM
👀Love this piece from AR Democrat-Gazette lifting up the powerful Medicaid story collection work from our partners at AR Advocates for Children and Families... helping people turn lived experiences into advocacy 👏

>>https://edition.arkansasonline.com/article/281492166913720
Arkansas Online
Arkansas Online
edition.arkansasonline.com
December 17, 2024 at 2:53 PM
Meaningful access to care...and our idea of "good care"... must include prevention and post-discharge services, otherwise it equates to little more than a band-aid
November 25, 2024 at 9:37 PM
Reposted by Kaylan Szafranski
Every line of this gave me chills. Porsha should be here today, with her two boys. My god.
NEW: Porsha Ngumezi is the fifth case we've reported on in which a woman died after not receiving a D&C or its second-trimester equivalent in time, or at all.

Her case raises questions about how abortion bans are pressuring doctors to avoid standard care even in straightforward miscarriages.
A Third Woman Died Under Texas’ Abortion Ban. Doctors Are Avoiding D&Cs and Reaching for Riskier Miscarriage Treatments.
Thirty-five-year-old Porsha Ngumezi’s case raises questions about how abortion bans are pressuring doctors to avoid standard care even in straightforward miscarriages.
www.propublica.org
November 25, 2024 at 12:57 PM