Healthcare reform continues to be a highly charged and contentious topic in the United States. A significant portion of the American population holds the view that healthcare is a fundamental necessity that should be available to all individuals, regardless of their race, religion, gender, economic circumstances, or any other demographic characteristic. Nevertheless, crafting legislation that outlines the means by which such care should be funded remains a significant challenge. According to Le Blanc et al., (2020), the Sustaining Excellence in Medicaid Act of 2019, introduced by Michigan Representative Debbie Dingell and signed into law on August 6, 2020, represents a recent federal healthcare reform in the United States. The bill introduced several reforms. One of the major changes involved extending Medicaid appropriations through the fiscal year 2024, ensuring continued funding for the program.
It also involved expanding Medicaid eligibility to protect individuals from falling into poverty due to their spouse's circumstances. In some cases, spouses from lower socioeconomic backgrounds are denied Medicaid coverage, but this bill extends coverage to include such populations, including those receiving home-based and community-based medical services. The bill also empowered state fraud units within Medicaid to investigate and address complaints from non-institutionalized patients. This reform is significant because it rectifies disparities that previously existed when such patients' complaints were overlooked, even though they legally qualified for Medicaid coverage (Le Blanc et al., 2020). It also eliminated the requirement for drug manufacturers to
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