This is certainly a less than perfect bill and there are negatives to go along with the positives. In the negative category I would place an extension of Medicaid payment reductions for disproportionate share hospitals, altering provisions related to third party liability under CHIP and Medicaid (poor folks should have equal access to the courts and restitution for harms), the future lowering of the FMAP percentage and more restrictive eligibility standards for children in households at 300% of the poverty level (which is still not that much money for families to provide full healthcare). But in the positive column, CHIP funding has been reauthorized through 2022, which is huge. Funding CHIP is so hugely important it covers a myriad of could of/should have done better details throughout the bill. The idea of not extending funding for this ESSENTIAL LIFELINE for children and families living at or near the poverty line is ludicrous and unthinkable, but I’d begun to develop a genuine fear it might not happen. In addition, providing an express lane eligibility option to states is likely to prove to be very helpful. So in the final analysis this goes in the “Thanks” category. Although of course, passing universal healthcare is the better option and would eliminate the question of funding specific programs for specific populations once and for all. Just a thought.