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Families, physicians fear what Medicaid cuts could mean for children in Massachusetts – The Boston Globe

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Families, physicians fear what Medicaid cuts could mean for children in Massachusetts – The Boston Globe


Now, parents, policy makers, and health providers are holding their breath as Republicans in Congress weigh potentially billions of dollars in cuts to Medicaid. Federal dollars pay for more than half of MassHealth’s $20 billion annual budget.

“MassHealth is a cornerstone for children’s health in Massachusetts,“ said Katherine Howitt, director of the Massachusetts Medicaid Policy Institute, an independent policy analysis program of the Blue Cross Blue Shield of Massachusetts Foundation.

The consequences of significant cuts to Medicaid, and the potential for voter outrage, have some doubtful Congress will ultimately cut from the public insurance program.

The information coming out of Washington is too vague to act upon, said Mike Levine, assistant secretary for MassHealth.

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“We do not have specific contingency plans around what services we offer kids and what we might do if Congress or CMS takes actions we don’t like,” he said in an interview Monday.

Still, the possibility frightens Bernard. When her daughter, Victoria, was 2, before doctors had figured out what prescriptions and dosages would best control her epilepsy, she routinely had multiple seizures a week, her mother said. The child’s speech is delayed, but with the therapy MassHealth pays for, she is learning to express herself verbally.

“Without MassHealth I don’t know how I would do,” Bernard said. “I’m very concerned about it.”

Congressional Republicans have said they want to balance tax cuts by, in part, eliminating $880 billion in federal spending over 10 years. Leading Republicans, including President Trump, have said that won’t include cuts to Medicaid benefits. US House Speaker Mike Johnson has said his party is seeking only to reduce “fraud, waste, and abuse.”

But experts on health policy say there’s no way Republicans can achieve their budget goals without impacting Medicaid. At more than $600 billion a year, the program is among the federal government’s largest expenses.

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“We know that the only way to achieve $880 billion in cuts is through catastrophic cuts to the Medicaid program as we know it,” said Megan Cole Brahim, a Boston University professor and co-director of the school’s Medicaid Policy Lab. “There’s really no way it wouldn’t have harmful implications for children.”

Massachusetts expanded MassHealth in 2006 to include children in households earning up to 300 percent of the federal poverty level, extending coverage to more children than in all but a few states.

As of 2023, only 0.6 percent of Massachusetts children were uninsured, according to a report from the state Center for Health Information and Analysis on insurance coverage in the state.

The state’s post-pandemic review of MassHealth eligibility led to about 363,000 people removed from membership last year, including almost 59,000 children ages 17 and younger, the state reported.

Even if Congress took a hatchet to Medicaid, Cole Brahim said she anticipated Massachusetts would seek to protect children from the brunt of the consequences. Officials could be forced to reduce access to some optional benefits, such as physical therapy, case management, and community health workers, and could reduce the kinds of prescription drugs, or the dosage amounts, covered by MassHealth.

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Losing even partial Medicaid reimbursements would be devastating to community health centers and hospitals. On average, the health centers receive about 31 percent of their revenue from MassHealth, according to the Massachusetts League of Community Health Centers. MassHealth paid about 18 percent of all hospital revenue in the state as of 2022, according to the Blue Cross Blue Shield of Massachusetts Foundation. Boston Children’s Hospital reported roughly 46 percent of its Massachusetts patients are MassHealth members. Substantial cuts to Medicaid, hospital officials said, would create financial aftershocks that would affect every patient in the hospital.

“The danger for any children’s hospital in the country, [if] you start cutting Medicaid, you’re going to affect care delivery for every patient,” said Joshua Greenberg, Boston Children’s vice president of government relations.

On Monday, Governor Maura Healey and her partner, Joanna Lydgate, toured Children’s to highlight how potential cuts to Medicaid, as well as halts to millions in National Institutes of Health research grants, could affect patients. Kevin B. Churchwell, the hospital’s president and chief executive, said federal funding cuts have already disrupted clinical trials and research, including work with vaccines.

“We have patients in clinical trials who had their treatments stop because of this,” Healey said. “Can you imagine the cruelty of that?”

Among the groups Medicaid supports, including seniors and some people with disabilities, children are a relatively inexpensive clientele. They account for about 16 percent of the state’s total MassHealth expense. The families of some children enrolled also have private insurance but rely on MassHealth as secondary coverage to help with medical-related bills their insurer doesn’t cover.

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For many children, MassHealth membership means more than covered doctor visits. The program pays whatever is needed to ensure children with disabilities have the equipment, care, and support they need. It allows children to receive Medicaid-covered services through their school’s health services and pays for behavioral health care in the community or home.

In addition, families on MassHealth get screenings to identify dental, aural, visual, or developmental concerns. Such wide-ranging and widely accessible insurance coverage can benefit children their whole lives. Children with good health care do better in school, a 2021 Blue Cross Blue Shield of Massachusetts Foundation report stated, and those with access to Medicaid tend to have fewer hospital stays, emergency room visits, and chronic conditions in adulthood.

Victoria Bernard’s doctor, Laura Livaditis, director of pediatrics at Mattapan Community Health Center, said about 90 percent of the children treated at the center are enrolled in MassHealth. Most of her patients are also from families living at or below the poverty line. MassHealth’s wide-ranging coverage has helped them to avoid evictions, she said. And for immigrants, the program has helped them make connections to ensure they have stable food and housing.

“I’m continuously impressed with the breadth and depth of services MassHealth covers for my patients,” Livaditis said. “I can’t remember the last time I had to fight with [MassHealth] insurance for needed services.”

Correspondent Emily Spatz contributed to this report.

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Jason Laughlin can be reached at jason.laughlin@globe.com. Follow him @jasmlaughlin.





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Massachusetts Removes LGBT Ideology Requirements for Foster-Care Parents

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Massachusetts Removes LGBT Ideology Requirements for Foster-Care Parents


Massachusetts will no longer require prospective foster parents to affirm gender ideology in order to qualify for fostering children, with the move coming after a federal lawsuit from a religious-liberty group. 

Alliance Defending Freedom said Dec. 17 that the Massachusetts Department of Children and Families “will no longer exclude Christian and other religious families from foster care” because of their “commonly held beliefs that boys are boys and girls are girls.”

The legal group announced in September that it had filed a lawsuit in U.S. district court over the state policy, which required prospective parents to agree to affirm a child’s “sexual orientation and gender identity” before being permitted to foster. 

Attorney Johannes Widmalm-Delphonse said at the time that the state’s foster system was “in crisis” with more than 1,400 children awaiting placement in foster homes. 

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Yet the state was “putting its ideological agenda ahead of the needs of these suffering kids,” Widmalm-Delphonse said.

The suit had been filed on behalf of two Massachusetts families who had been licensed to serve as foster parents in the state. They had provided homes for nearly three dozen foster children between them and were “in good standing” at the time of the policy change. 

Yet the state policy required them to “promise to use a child’s chosen pronouns, verbally affirm a child’s gender identity contrary to biological sex, and even encourage a child to medically transition, forcing these families to speak against their core religious beliefs,” the lawsuit said. 

With its policy change, Massachusetts will instead require foster parents to affirm a child’s “individual identity and needs,” with the LGBT-related language having been removed from the state code. 

The amended language comes after President Donald Trump signed an executive order last month that aims to improve the nation’s foster care system by modernizing the current child welfare system, developing partnerships with private sector organizations, and prioritizing the participation of those with sincerely held religious beliefs. 

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Families previously excluded by the state rule are “eager to reapply for their licenses,” Widmalm-Delphonse said on Dec. 17.

The lawyer commended Massachusetts for taking a “step in the right direction,” though he said the legal group will continue its efforts until it is “positive that Massachusetts is committed to respecting religious persons and ideological diversity among foster parents.”

Other authorities have made efforts in recent years to exclude parents from state child care programs on the basis of gender ideology.

In July a federal appeals court ruled in a 2-1 decision that Oregon likely violated a Christian mother’s First Amendment rights by demanding that she embrace gender ideology and homosexuality in order to adopt children.

In April, meanwhile, Kansas Gov. Laura Kelly vetoed legislation that would have prohibited the government from requiring parents to affirm support for gender ideology and homosexuality if they want to qualify to adopt or foster children.

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In contrast, Arkansas in April enacted a law to prevent adoptive agencies and foster care providers from discriminating against potential parents on account of their religious beliefs. 

The Arkansas law specifically prohibits the government from discriminating against parents over their refusal to accept “any government policy regarding sexual orientation or gender identity that conflicts with the person’s sincerely held religious beliefs.”





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Massachusetts orders DraftKings to pay $934K after it botched MLB parlay bets

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Massachusetts orders DraftKings to pay 4K after it botched MLB parlay bets


A costly sportsbook screwup left DraftKings on the hook for nearly $1 million after Massachusetts regulators ordered the payouts tied to a botched MLB parlay scheme.

The Massachusetts Gaming Commission voted 5-0 on Thursday to reject DraftKings’ bid to void $934,137 in payouts stemming from a series of correlated parlays placed during MLB’s 2025 American League Championship Series, according to Bookies.com.

A Massachusetts customer wagered $12,950 total across 27 multi-leg parlays on Toronto Blue Jays player Nathan Lukes, exploiting an internal DraftKings configuration error that allowed the bettor to stack multiple versions of the same bet into one wager.

DraftKings sought to void a payout of nearly $1 million to a bettor who placed 27 multi-leg parlay wagers that were successful. Tada Images – stock.adobe.com

DraftKings told regulators the bets should never have been accepted and argued the patron acted unethically by taking advantage of an obvious error.

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Commissioners flatly rejected that argument.

The wagers were tied to DraftKings’ “Player to Record X+ Hits in Series” market during the seven-game ALCS between Toronto and Seattle.

Because of a misclassification inside DraftKings’ trading tools, Lukes was incorrectly labeled a “non-participant” rather than an active player.

That designation disabled safeguards designed to block bettors from parlaying correlated outcomes from the same market.

As a result, the bettor was able to combine multiple Lukes hit thresholds — including 5+, 6+, 7+ and 8+ hits — into single parlays, functionally creating an inflated wager on Lukes recording eight or more hits at dramatically enhanced odds.

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A Massachusetts customer wagered $12,950 total across 27 multi-leg parlays on Toronto Blue Jays player Nathan Lukes. AP

The bettor also added unrelated, high-probability legs, including NFL moneyline bets, to further juice payouts.

Lukes ultimately appeared in all seven games and finished the series with nine hits, clearing every threshold.

Of the 27 parlays placed, 24 hit cleanly. Only three lost due to unrelated college football legs involving Clemson, Florida State and Miami.

During a heated exchange at Thursday’s commission meeting, DraftKings executive Paul Harrington accused the patron of fraud and unethical conduct.

DraftKings told regulators the bets should never have been accepted and argued the patron acted unethically by taking advantage of an obvious error.

Commissioners bristled. One of them, Eileen O’Brien, blasted DraftKings for casting aspersions on the bettor without evidence and said the situation did not meet the standard of an “obvious error.”

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“An obvious error is a legal and factual impossibility,” O’Brien said. “This is an advantage that the patron took.”

She added that DraftKings’ internal failures — not the bettor’s conduct — created the situation.

“We need to seriously consider giving voice to the consumer and getting their half the story,” O’Brien said. “The compulsion to pay will in fact encourage compliance.”

Because of a misclassification inside DraftKings’ trading tools, Lukes was incorrectly labeled a “non-participant” rather than an active player. Getty Images

Other commissioners echoed that view, emphasizing that it is the operator’s responsibility to ensure the integrity of its markets.

The commission noted that DraftKings acknowledged the root cause was internal — a configuration failure within its own trading tools — and not the result of a third-party odds provider or external data feed.

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Upon discovering the error, DraftKings pulled the affected markets, left the wagers unsettled pending regulatory guidance and implemented corrective fixes.

The company said no other Massachusetts customers were impacted, though the same issue appeared in two other jurisdictions.

The Post has sought comment from DraftKings.



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Deadline nears for Massachusetts Health Connector enrollment

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Deadline nears for Massachusetts Health Connector enrollment


SPRINGFIELD — With just days left before the Dec. 23 deadline, state and local leaders are urging uninsured residents to enroll in health coverage through the Massachusetts Health Connector to ensure they’re protected in the new year. The cutoff applies to anyone who wants coverage starting Jan. 1.

The Health Connector — the state’s official health insurance marketplace — is the only place residents can access financial assistance and avoid misleading “junk” policies that often appear in online searches, according to a statement from the agency.

Officials say the enrollment period is especially critical for people without job-based insurance, gig workers, newcomers to the state and anyone seeking affordable, comprehensive health plans.

At a press conference Wednesday at Caring Health Center’s Tania M. Barber Learning Institute in Springfield, health leaders emphasized that most people who sign up through the Connector qualify for help paying premiums through its ConnectorCare program.

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Audrey Morse Gasteier, executive director of the Massachusetts Health Connector, said the state has spent nearly two decades committed to ensuring access to health care and offering the most affordable coverage possible for everyone.

”And despite the federal challenges, we continue to do everything we can to offer coverage to everyone who needs it. Now is the time for people who don’t have coverage to come in, apply, and find out what kind of plan for which they qualify,” she said.

Open enrollment also gives current members a chance to review their coverage, compare options and make changes.

Recent changes in federal policy have caused shifts in coverage and higher premiums for many Massachusetts residents, creating uncertainty and concern, said Cristina Huebner Torres, chief executive vice president and strategy and research officer at Caring Health Center.

“During times like these, trusted, local support becomes even more essential, and our Navigators have been on the very front lines, helping residents understand their options, maintain coverage, and navigate a complex and evolving system,” Huebner Torres said.

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