Research Faculty Georgetown University, CCF. Attorney, health policy. Lifelong cyclist, sailor, kayaker and hiker. Mainly at @adamsearing.bsky.social
Washington DC; Chapel Hill NC
Joined May 2009
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I've moved over to @adamsearing.bsky.social for my health....see you there. bsky.app/profile/adamsearing…
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
Our updated @georgetownccf tracker finds that 16 months into President Trump’s 2nd term, Medicaid is covering 2 million fewer children.
This is very bad news b/c the child uninsured rate is likely going up as a result.
And this is before HR 1 Medicaid cuts kick in.
The Rural Health Transformation Fund: Political Rhetoric Meets Bipartisan Concern as the Program Moves Forward
ccf.georgetown.edu/2026/03/0…
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
A serious effort to detect fraud against Medicaid would not dump data online with no context.
CMS itself indicates elsewhere on their website that in 22 states the underlying data that was dumped by the Trump Administration was “unusable” or of “high concern”.
I’m always for more data. But, be careful using the new Medicaid spending data released by the Trump administration. It’s missing a lot of important details and context.
kff.org/medicaid/what-newly-…
My latest:
Trump Administration Severely Limits Funding for Rural Hospitals and Clinics from Rural Health Transformation Fund – Capped at 15%
ccf.georgetown.edu/2025/10/2…
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
States Should Use Rural Transformation Fund to Focus on Children and Families with Anne Dwyer ccf.georgetown.edu/2025/09/2… via @GeorgetownCCF
I‘m thinking today about Saint Ignatius, the Budget Reconciliation Bill’s “Rural Health Transformation Fund” and Down East North Carolina:
Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics?
ccf.georgetown.edu/2025/09/1…
Buried in grant docs for HR1 Rural Health Fund:
States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5
grants.gov/search-results-de…
Commentary - Is West Virginia ready for Capito Care?
westvirginiawatch.com/2025/0…
Messaging spin v. actual wording of the law that passed Congress:
Coming federal Medicaid cuts hitting state budgets will not be negated by the newly-created but misnamed Rural Health Transformation Program.
ccf.georgetown.edu/2025/09/0…
My home state GOP Senator Thom Tillis dug up the facts and said it best this week on $1 trillion in cuts to Medicaid. @JoanAlker1, Andy Schneider, and I let his words speak for themselves in our new blog. ccf.georgetown.edu/2025/07/0…
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
My colleague Edwin Park has blogged about the new Senate bill CBO score confirming that Medicaid cuts are over $1 trillion.
ccf.georgetown.edu/2025/06/2…
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
This effectively repeals Medicaid expansion in only a few years. New analysis here: cbpp.org/research/medicaid-a…
News: Sen. Rick Scott amendment lowering federal match for Medicaid expansion has been filed. Would be "grandfathering" in beneficiaries until 2030 at 90 percent match, lower state-specific rate kicks in in 2031. Cost savings of $313 billion
full copy: cdn.sanity.io/files/ifn0l6bs…
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
G.O.P. Bill Has $1.1 Trillion in Health Cuts and 11.8 Million Losing Care, C.B.O. Says nytimes.com/2025/06/29/us/po… via @NYTimes
I’ve respectfully disagreed with Rep. Tillis, Speaker Tillis and Sen. Tillis for years on Medicaid. On the effect of the trillion dollars of cuts to Medicaid in the Senate bill, today I 100% agree with the Senator. Great statement.
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
👀Our new report finds Medicaid is a key insurer for small business workers and their families.
This is a pretty astounding finding especially as the denominator is all Medicaid enrollees which includes seniors and people with disabilities.
ccf.georgetown.edu/2025/06/2…
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
In a shocking dereliction of duty the leadership of the U.S. Senate - the so-called “world’s greatest deliberative body” - released text at midnight last night for the “OBBB” allegedly to start debate at noon today.
Medicaid cuts remain extremely draconian.
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
The Senate version of the Medicaid work requirement doubles down and worsens a bad policy advanced by the House.
It also gives the Trump Administration enormous leverage to protect their Governor friends and punish their enemies by timing the coverage losses.
1/7
From me and @JoanAlker1 : "The “One Big Beautiful Bill” is an Attack on the Affordable Care Act’s Vision of Universal Coverage"
ccf.georgetown.edu/2025/06/1…
Adam Searing 🇺🇸🏳️🌈🚵 retweeted
18 state-based marketplaces just sent a pretty blistering letter to House leadership about just how damaging the ACA policies in the reconciliation bill — which drive almost a quarter of estimated coverage losses, before accounting for expiration of enhanced subsidies — would be.
