Restore Trump-era Medicare demos (MCIT, RADV, MAQI, GPDC/ACO REACH) and site neutrality
Mandate urges reintroduction of withdrawn Trump Medicare regulations/demos and expansion of site-neutral payment, plus conscience rules against compelled sex-change services.
Mandate
Mandate Ch. 14 (HHS) — CMS Medicare Regulatory Reforms: restore MCIT, RADV, MAQI demonstration, and GPDC/ACO REACH model; advance site neutrality by eliminating inpatient-only list and expanding ASC covered procedures; restore conscience protections so practitioners are not compelled to provide sex changes.
Undo plan
1) Evaluate each restored Trump demo on clinical access and equity impacts; keep evidence-based site-neutrality reforms that cut hospital markups without closing rural access.
2) Rescind conscience rules that authorize denial of medically necessary gender-affirming care contrary to nondiscrimination law.
3) Maintain MCIT/innovation pathways with safety nets.
4) Publish CMS impact analyses before major payment flips.
5) Verify: MedPAC reports on site-of-service shifts and beneficiary out-of-pocket trends.