�鶹Ů��

Medicaid expansion advocates are eyeing 2020 wins in red states by taking the issue straight to voters, a strategy that yielded success last year in other Republican-led states. Proponents are petitioning Florida, Missouri and Oklahoma to include ballot measures asking residents if they want to broaden out the federal health care program to cover more low-income adults, many of whom are uninsured. (Hellmann, 7/30)

Ohio’s Medicaid enrollment has declined more than 8% in the past two years, raising questions about whether the more than 250,000 former beneficiaries have become uninsured or found other health coverage. According to the Ohio Office of Budget and Management, Medicaid enrollment has fallen in 23 of the past 24 months. More than three fourths of those leaving the rolls were adults while the rest, some 60,000, were children. (Candisky, 7/30)

A deputy commissioner at New York City’s social-services agency was fired after a judge in a disciplinary trial ruled he inaccurately designated 30 employees as performing Medicaid work, forcing the city to repay more than $7 million to the state. In a decision last month, a city administrative judge found that Thomas Colon, 49 years old, wrongly designated employees as performing only Medicaid-related work, which is eligible for a state reimbursement. (Honan, 7/30)