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Hoosiers could be kicked off Medicaid under Trump's 'big beautiful bill.' What to know
Hoosiers could be kicked off Medicaid under Trump's 'big beautiful bill.' What to know

Indianapolis Star

time20-06-2025

  • Health
  • Indianapolis Star

Hoosiers could be kicked off Medicaid under Trump's 'big beautiful bill.' What to know

Some Hoosiers could be kicked off Medicaid if President Donald Trump's 'One Big Beautiful Bill Act' passes in its current form, as the state grapples with the revenue cuts that would come with it. Language added to the federal legislation on June 16 caps the Medicaid provider tax — which is used to cover 90% of the state's portion of the costs for the Healthy Indiana Plan — at 3.5%. Indiana utilizes a 6% provider tax, meaning the change would decrease funding from the fee by nearly half. Opponents of the provider tax view it as a loophole used by states to qualify for matching dollars from the federal government, which pays for 90% of the costs of the program, without having to dedicate much of their own funds. If passed as is, Indiana would not be able to afford the current costs of the Healthy Indiana Plan, the state's insurance program for low-income people, Indiana Family and Social Services Administration Secretary Mitch Roob said at a state budget committee meeting June 18. But neither Roob nor Gov. Mike Braun are asking Congress to keep the full 6%. Instead, Roob said at the meeting that he wants Congress to add language that would give states the flexibility to adapt. Those changes would allow the state to enroll fewer Hoosiers in HIP, according to Roob. 'Please give us the needed flexibility to roll back our eligibility if they change the fuel mix for our program,' he said at the meeting. Even without the added impact of the federal legislation, the state is making it more challenging to qualify for Medicaid. The latest version of HIP already includes more restrictions, such as work requirements for able-bodied recipients that passed the legislature this year. The new law includes a list of exceptions, though not all would be covered under the work requirement language proposed in the federal bill. In a statement June 18, Braun said the efforts to reduce federal spending were overdue. "However, flexibility in managing Indiana's HIP program will be essential for the state moving forward, especially if we are required to take on more of the financial obligation,' he said in the statement. 'This will require a hands-on approach to updating and maintaining Indiana's Medicaid system that only Hoosiers can provide.' Braun said he would work to 'stretch the dollar' for people with chronic diseases and those who 'really can't afford health care' when speaking to reporters at the Indiana Statehouse on June 19. 'That's what I'd like to have it there for, not what it's expanded into with very lax supervision, pushed by the feds and now with a bunch of begrudging state partners because it's been busting the budget,' he said. The provision has already faced some GOP opposition in the U.S. House of Representatives, which must approve this version of the bill before it can move on. With a slim Republican majority, it's possible the part of the bill that imposes the 3.5% tax cap could be removed. The version that already passed the House only capped future increases in provider fees.

6 places to get the best butter chicken in Dubai this weekend
6 places to get the best butter chicken in Dubai this weekend

What's On

time04-06-2025

  • Lifestyle
  • What's On

6 places to get the best butter chicken in Dubai this weekend

Butter chicken unites us all; these are the best in Dubai… Who doesn't love a good butter chicken? The silken curry takes the cake as the top-rated comfort food and everyone's primary takeout choice, and we're not just talking about the desi crowd. Our fellow fair-skinned folk seem to love a good butter chicken, for obvious reasons relating to premature spice tolerances, but we'll forgive – at least it's not a vindaloo. If you're looking for a solid butter chicken to dress up your weekend nights in, check out this list. And save some for us. Sind Punjab View this post on Instagram A post shared by Sind Punjab Restaurant (@sindpunjabdxb) Sind Punjab, located in Meena Bazaar, has been feeding hungry patrons since 1977. Tender, flavourful, with a rich sauce and chicken cooked to perfection, it strikes a balance between sweet and spicy and is insanely economical. Dhs27.50, @sindpunjabdxb Khadak The Guntur butter chicken at Khadak has been touted by many as it's best offering, and it is indeed, a most solid contender. Rich, creamy, with a tomato-y sweetness and buttery smoothness, this one has a kick missing from some. Dhs78, @khadak_ae Roobaru View this post on Instagram A post shared by Roobaru – Indian Restaurant in Dubai (@ Roobaru is a delivery favourite, and their Roob's butter chicken is one thing you need to have in your order. It is everything butter chicken should be – rich, silky, tender, creamy, and so perfectly comforting – it'll warm your stone cold heart. Dhs69, @ Gazebo View this post on Instagram A post shared by Gazebo Restaurant (@gazeborestaurant) Gazebo is an Indian classic – and they have loads of great options besides just the dum biryani. The murgh makhani or butter chicken is a crowd pleaser, and served with their steaming, buttery naan, it'll solve all your problems. Dhs43, @gazeborestaurant Mohalla View this post on Instagram A post shared by Mohalla (@mohallarestaurant) Mohalla is also a fan favourite among Dubai residents, and they have their Delhi 6 butter chicken that is sure to please anyone. The tomato and butter gravy is silky smooth, and the chicken is good to tandoori goodness. Dhs65, @mohallarestaurant Rang This stunning mall eatery offers the perfect accompaniment to your weekend shopping plans – a rich, creamy, dreamy, smooth, butter chicken. Shop till you drop and then refuel with this dish, paired with some incredible naan, of course. Dhs62, Images: Supplied/Socials

FSSA secretary: Braun administration ‘inherited a mess'
FSSA secretary: Braun administration ‘inherited a mess'

Yahoo

time30-05-2025

  • Business
  • Yahoo

FSSA secretary: Braun administration ‘inherited a mess'

FSSA Secretary Mitch Roob addresses a crowd at the Indiana Fiscal Policy Institute's 2025 Policy Summit on May 30, 2025 to discuss the agency and Medicaid policy. (Whitney Downard/Indiana Capital Chronicle) When it comes to the Family and Social Services Administration — which oversees Medicaid alongside other state programs like child care subsidies — Gov. Mike Braun 'inherited a mess,' FSSA Secretary Mitch Roob said Friday. Roob is taking his second turn leading the agency, which has the single largest budget due to its federal funding. Previously, he led FSSA under former Gov. Mitch Daniels. Donning his now-standard 'Make Medicaid Boring Again' hat, Roob said the state had 'no other choice' than to make the program more sustainable and fiscally sound. He spoke at the Indiana Fiscal Policy Institute's 2025 Policy Summit in Indianapolis. 'Very few people wear — other than (President) Donald Trump — wear their job description on their hat, but I do,' said Roob. 'That is our task for the next four years.' House GOP overwhelmingly votes to impose Medicaid work requirements Under Daniels, Roob launched the earliest version of the Healthy Indiana Plan, which covers moderate-to-low-income Hoosiers but has grown since its first iteration. HIP 3.0, on the other hand, would return to its roots and 'inject personal responsibility for able-bodied adults again,' Roob said, putting it into alignment with federal discussions on work requirements for the Medicaid program. Also in his first term, Roob said the agency conducted monthly finance reporting and other fiscal checks to tamp down on spending. He said departing from that norm in subsequent administrations is when the program went awry, pointing specifically to cost growth for applied behavior analysis therapy and attendant care. The former is a treatment sought by some parents with autistic children while the latter is a program that previously allowed parents to be paid as caregivers for their children with complex medical needs. '… that lack of accountability, that lack of paying attention to the dollars is why we had ABA therapy growing at a pace that we did. It's why we had attendant care growing at the pace that it did,' said Roob. 'It's very difficult to put that genie back in the bottle here because, in both of those cases, we had created, inadvertently, a dependency.' He never specifically named former Gov. Eric Holcomb in his criticism. In 2019, Indiana's Medicaid program spent $120 million on ABA therapy, but the program ballooned to $639 million by 2023. In response, Braun established a panel to consider cost controls earlier this month. 'If you think this is sustainable, you're budgeting at the federal level,' quipped Roob. 'Because this will bankrupt Indiana.' Similarly, attendant care costs for parents of disabled children grew rapidly during that time span. Roob said the agency spent $11 million monthly in July 2020 but the number soared to $84 million each month by May 2024, when the agency diverted parents to a structured family caregiving program that paid at a lower rate. Combined, Roob said those numbers contributed to a December 2023 state forecast determining Indiana was $1 billion short in its Medicaid budget. Providers, seniors continue to experience challenges under PathWays program 'Many folks look at the Medicaid program and they go, 'How did you get in debt a billion dollars?' Well, it's because you have so many more people receiving care and help. Because we are paying so much more for very discrete parts of the agency,' Roob said. Another program that transitioned care for elderly Hoosiers from state oversight to a contract with insurers — known as managed care entities — would 'never' be something he would pursue, said Roob. 'I have been quite clear this program … I never would implement (it),' said Roob. 'Because it's very difficult for managed care companies to manage the care of individuals who are in nursing homes. What is the value?' Early pitches said the PathWays to Aging program would deliver savings because the state would pay a flat fee for Hoosiers and private companies would manage their care, rather than Indiana paying piecemeal for every cost. However, the transition to get there 'is very difficult,' Roob said. 'We have not, today, seen the results that we are hoping for,' said Roob, adding that the state will pay $300 million extra to the companies in cost overruns this year. '… it's been painful for everybody involved so far and that pain shows signs of easing — but only signs.' Roob didn't limit his criticisms of previous administrations solely to health care programs, also saying there was 'a lack of planning' when it came to the state's child care options. Roughly 75,000 children currently receive some form of child care through the agency, an increase initially funded by federal pandemic dollars, Roob said. 'Their plan was in April of this year simply to take children off of the child care program with no particular warning,' asserted Roob. 'Gov. Braun and the legislature felt that was probably not the best answer, so they have allowed us to create a slope to slowly dr0p people from the child care program. 'That doesn't minimize the fact that we're losing over 20,000 daycare slots for the children of men and women who make below 127% of the poverty level,' continued Roob. CONTACT US Additionally, the 'lack of planning and forethought by our predecessors' meant that there would be even fewer options for parents seeking child care for infants or one year olds. Part of the problem with Indiana's Medicaid spending can be attributed to the state's high health care costs, an explicit priority for Braun. Since his tenure under Daniels, Roob said the disparity between what Hoosiers pay and what they receive has worsened. 'When Gov. Daniels was in office, I used to tell people that Indiana residents were buying a Cadillac and getting a Chevrolet,' Roob said. 'Unfortunately, today, we're no longer driving Chevrolet. We are driving a used Kia.' SUBSCRIBE: GET THE MORNING HEADLINES DELIVERED TO YOUR INBOX

5 places to get the best butter chicken in Dubai this weekend
5 places to get the best butter chicken in Dubai this weekend

What's On

time16-05-2025

  • Entertainment
  • What's On

5 places to get the best butter chicken in Dubai this weekend

Butter chicken unites us all; these are the best in Dubai… Who doesn't love a good butter chicken? The silken curry takes the cake as the top-rated comfort food and everyone's primary takeout choice, and we're not just talking about the desi crowd. Our fellow fair-skinned folk seem to love a good butter chicken, for obvious reasons relating to premature spice tolerances, but we'll forgive – at least it's not a vindaloo. If you're looking for a solid butter chicken to dress up your weekend nights in, check out this list. And save some for us. Sind Punjab Sind Punjab, located in Meena Bazaar, has been feeding hungry patrons since 1977. Tender, flavourful, with a rich sauce and chicken cooked to perfection, it strikes a balance between sweet and spicy and is insanely economical. Dhs27.50, @sindpunjabdxb Khadak The Guntur butter chicken at Khadak has been touted by many as it's best offering, and it is indeed, a most solid contender. Rich, creamy, with a tomato-y sweetness and buttery smoothness, this one has a kick missing from some. Dhs78, @khadak_ae Roobaru Roobaru is a delivery favourite, and their Roob's butter chicken is one thing you need to have in your order. It is everything butter chicken should be – rich, silky, tender, creamy, and so perfectly comforting – it'll warm your stone cold heart. Dhs69, @ Gazebo Gazebo is an Indian classic – and they have loads of great options besides just the dum biryani. The murgh makhani or butter chicken is a crowd pleaser, and served with their steaming, buttery naan, it'll solve all your problems. Dhs43, @gazeborestaurant Mohalla Mohalla is also a fan favourite among Dubai residents, and they have their Delhi 6 butter chicken that is sure to please anyone. The tomato and butter gravy is silky smooth, and the chicken is good to tandoori goodness. Dhs65, @mohallarestaurant Images: Supplied/Socials > Sign up for FREE to get exclusive updates that you are interested in

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