CMS弥补了医疗援助漏洞,允许各州将费用转移到联邦纳税人手中,在10年内节省78B美元。 CMS closes Medicaid loophole allowing states to shift costs to federal taxpayers, saving $78B over 10 years.

医疗保健和医疗补助服务中心已经敲定了一条规则,填补了长期存在的医疗补助漏洞,让各州利用对提供者的税收来提取联邦资金,从而有效地将费用转嫁给联邦纳税人。 The Centers for Medicare & Medicaid Services has finalized a rule closing a longstanding Medicaid loophole that let states use taxes on providers to draw down federal funds, effectively shifting costs to federal taxpayers. 这一做法每年花费超过240亿美元,并在2012年至2024年期间将联邦医疗补助支出份额从57%提高到64.5%,现在根据新规则禁止这种做法,因为新规则阻止对提供者征收更高的税费和关闭间接税途径。 The practice, which cost over $24 billion annually and raised the federal share of Medicaid spending from 57% to 64.5% between 2012 and 2024, is now prohibited under new rules that block higher taxes on providers and close indirect tax pathways. CMS说,这一变化将在10年中节省780亿美元,恢复联邦-州伙伴关系的公平性,并确保资金用于病人护理。 CMS says the change will save $78 billion over 10 years, restore fairness to the federal-state partnership, and ensure funds are used for patient care. 各国必须在2028财政年度之前遵守基于税收结构颁布的分阶段期限。 States must comply by fiscal year 2028, with phased deadlines based on when tax structures were enacted.