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Elisabeth Wright Burak

@ewburak

Research faculty, maternal and early childhood health policy Georgetown University Center for Children and Families (CCF) based at the McCourt School of Public Policy. Medicaid/CHIP policy + interesting (to me) miscellany.

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14.11.2024
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Latest posts by Elisabeth Wright Burak @ewburak

Mia Valentina Paz Faria
A 7-year-old from Venezuela who was living in Austin, Texas 
Detained for 70 days

“I don’t want to be in this place I want to go to my school.”

Mia Valentina Paz Faria A 7-year-old from Venezuela who was living in Austin, Texas Detained for 70 days “I don’t want to be in this place I want to go to my school.”

UPDATE: Staff at the ICE concentration camp in Dilley, Texas have begun raiding the dormitories of kids and their parents to confiscate and destroy letters from the children. This is in response to the ace reporting by 
@micarosenberg
 et al for ProPublica:

UPDATE: Staff at the ICE concentration camp in Dilley, Texas have begun raiding the dormitories of kids and their parents to confiscate and destroy letters from the children. This is in response to the ace reporting by @micarosenberg et al for ProPublica:

“I don’t want to be in this place I want to go to my school.”

- 7 year old imprisoned by ICE for 70 days in a concentration camp in Texas.

Today, after @propublica.org published this story, the camp was raided to confiscate letters from the children.

www.propublica.org/article/ice-...

17.02.2026 19:31 👍 12166 🔁 7001 💬 325 📌 832

DHS is holding a 2-month-old BABY at a detention facility in Texas.

Last night, Juan Nicolás was rushed to the hospital after choking on his own vomit & being unable to breathe.

This demands accountability — not a blank check for more cruelty.

18.02.2026 00:18 👍 6911 🔁 2516 💬 212 📌 120
The Scars of Family Detention and Separation in the U.S. Immigration System | The Children's Equity Project

This report from Children's Equity Project on the scars of family separation in immigration is powerful and devastating - we owe it to all children to understand this issue and fight for better. cep.asu.edu/the-scars-of...

17.02.2026 18:47 👍 1 🔁 2 💬 0 📌 0
Screenshot of a CNN segment shared by Acyn. A split-screen shows commentator Lydia Moynihan on the left and Kevin O’Leary on the right during a heated exchange. The chyron reads, “Obama: Dems need to avoid scolding and ‘virtue-signaling.’” The post quotes O’Leary referencing China and concentration camps, and McGowan responding about West Virginia.

Screenshot of a CNN segment shared by Acyn. A split-screen shows commentator Lydia Moynihan on the left and Kevin O’Leary on the right during a heated exchange. The chyron reads, “Obama: Dems need to avoid scolding and ‘virtue-signaling.’” The post quotes O’Leary referencing China and concentration camps, and McGowan responding about West Virginia.

I spent my childhood inside of American concentration camps. I know one when I see one. And that is what ICE is building.

17.02.2026 21:00 👍 36745 🔁 11210 💬 1005 📌 380

Thread: For the first time since June 2024 the Congressional Budget Office issued this week detailed baseline estimates for #Medicaid and for health insurance coverage. Here are a few takeaways: (1/x)

13.02.2026 18:23 👍 18 🔁 7 💬 1 📌 2
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'Perfect storm': Why Teton Valley Health Care chose to lay off staff, close infusion clinic - East Idaho News DRIGGS — Facing difficult decisions as state and federal funding stalls, Teton Valley Health Care administrators made the decision to lay off dozens of employees and close an infusion clinic. In all, ...

Rural health transformation fund” in HR1 was peddled as saving rural hospitals from draconian federal Medicaid cuts.

Yet a rural hospital in Idaho is already on the brink and the fund won’t save them

And this in Sen. Crapo Ch. Senate Finance Ctte’s home state

www.eastidahonews.com/2026/01/perf...

07.02.2026 00:16 👍 2 🔁 4 💬 0 📌 1
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Judge in Minnesota Says ICE Has Violated Nearly 100 Court Orders

www.nytimes.com/2026/01/28/u...

29.01.2026 03:36 👍 3130 🔁 1268 💬 132 📌 119
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Children Are Being Harmed. Our Responsibility Is Clear. - Early Childhood Funders Collaborative Children Are Being Harmed. Our Responsibility Is Clear. ______________________________________________________________________________________ A Statement from ECFC Executive Director Shannon L. Rudis...

Philanthropic organizations focused on early childhood development explain why the abusive immigration enforcement tactics must end now. These harmful practices can permanently alter a child’s life trajectory.

27.01.2026 19:13 👍 1 🔁 2 💬 0 📌 0

New year, same frustrations. Per CMS, states can now opt out of reporting on immunization rate for kids covered by Medicaid/CHIP. 👇

05.01.2026 15:42 👍 0 🔁 0 💬 0 📌 0
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[2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance | The United States Senate Committee on Finance [2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance

Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...

09.12.2025 00:29 👍 49 🔁 39 💬 3 📌 2

Proud to be a part of 14 of @georgetownccf.bsky.social's 20 year history. vimeo.com/1143102491?f...

09.12.2025 15:00 👍 1 🔁 0 💬 0 📌 0

A few thoughts on new Medicaid work req guidance from CMS

Topline it says v. little so states remain in a bind with huge demands and little guidance to go on.

But some takeaways:
1. Confirms that states will have access to 90/10 fed match for new IT systems (vendors are 😀).
🧵

08.12.2025 23:05 👍 9 🔁 8 💬 1 📌 0
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New evidence on how ICE is affecting student learning

https://drive.google.com/file/d/1erU5Oe0vJYdVjuqQi4sfhUGxS0BGjWl8/view?usp=drivesdk

10.11.2025 10:40 👍 204 🔁 100 💬 2 📌 4
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Threats to Maternal and Infant Health Won’t End After Shutdown Resolved The current federal government shutdown is driven by failure of the Congress to finalize this year’s federal budget appropriations or adopt a Continuing Resolution (CR). The shutdown is already imp…

My colleagues @ewburak.bsky.social and Kay Johnson sobering outlook on the many threats to federal funding to promote maternal and infant health.

ccf.georgetown.edu/2025/11/04/t...

07.11.2025 00:13 👍 8 🔁 4 💬 0 📌 0
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“.. in a group Signal chat, .. he wrote in part: ‘I fired 5 rounds and she had 7 holes. Put that in your book boys.’”

@reuters.com #Chicago
www.reuters.com/world/us/bor...

06.11.2025 14:24 👍 11294 🔁 5928 💬 767 📌 720
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Trump Administration Blocks States from Keeping Babies and Toddlers Connected to Health Coverage On Sunday, the Administrator of the federal Centers for Medicare and Medicaid Services (CMS), Dr. Mehmet Oz, appeared on Face the Nation. He was pressed repeatedly on Medicaid cuts by Host Margaret…

My new blog w/ @ewburak.bsky.social

Actions speak louder than words when it comes to caring about kids covered by Medicaid.

Trump Administration Blocks States from Keeping Babies and Toddlers Connected to Health Coverage ccf.georgetown.edu/2025/08/08/t... via
@georgetownccf.bsky.social

08.08.2025 17:09 👍 4 🔁 4 💬 0 📌 0
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Trump Administration Blocks States from Keeping Babies and Toddlers Connected to Health Coverage Last Sunday the Administrator of the federal Centers for Medicare and Medicaid Services (CMS), Dr. Mehmet Oz, appeared on Face the Nation. He was pressed repeatedly on Medicaid cuts by Host Margare…

Actions speak louder than words. Latest w/@joanalker1.bsky.social on CMS reversal of 1115s for continuous eligibility from birth to age 6. ccf.georgetown.edu/2025/08/08/t...

08.08.2025 16:35 👍 1 🔁 1 💬 0 📌 0
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Trump Isn’t Done Cutting Your Health Care Now it’s low-income kids that Republicans are targeting.

@citizencohn.bsky.social does an amazing job explaining how harmful a policy choice it was that the Trump Administration ended continuous coverage for babies and toddlers.

A truly terrible decision for America's families.

Trump Isn’t Done Cutting Your Health Care www.thebulwark.com/p/trump-isnt...

20.07.2025 21:14 👍 158 🔁 66 💬 3 📌 3
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👀In the name of “protecting vulnerable Americans” the Trump Administration will rip away Medicaid coverage from babies and toddlers👀

CMS announces Medicaid demos that 8 states are implementing to cover babies and young children continuously w/o gaps due to red tape will no longer be allowed.

17.07.2025 19:23 👍 24 🔁 20 💬 1 📌 7

Two additional states (IA and OH) have 0-3 or 0-6 CE 1115 proposals in development. Several states (e.g. AK, ME, MT) considered bi-partisan proposals do do the same during their 2025 legislative sessions.

17.07.2025 18:14 👍 0 🔁 0 💬 0 📌 0
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Multi-Year Continuous Eligibility for Children As of January 1, 2024, all states are required to provide 12 months of continuous health coverage for children in Medicaid and the Children’s Health Insurance Program (CHIP). This reduces the risk …

Nine states were approved by Biden CMS to adopt continuous eligibility for children from birth to age 6, to ensure continuous coverage during the most rapid period of child development. ccf.georgetown.edu/2024/02/01/m...

17.07.2025 18:14 👍 0 🔁 0 💬 1 📌 0
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With the Big, Beautiful Bill, You Can Now Sponsor a Billionaire of Your Choosing "My fellow Americans: When you pay taxes, which would you rather support? Cancer research, or getting one guy a really big boat?" @petridishes writes:

With the Big, Beautiful Bill, Each Taxpayer Can Now Help Sponsor a Billionaire

01.07.2025 00:07 👍 700 🔁 211 💬 17 📌 16
The Big, Beautiful Bill assigns each American a billionaire who will live the
American dream for you. You can check in on your billionaire at intervals and see how he is using your money. Maybe he's building a 19th pool. Maybe he's buying himself some formerly public land! Maybe he's taking a Supreme Court justice on a dream vacation! Maybe he is reupholstering the Statue of Liberty to hide the poem.

The Big, Beautiful Bill assigns each American a billionaire who will live the American dream for you. You can check in on your billionaire at intervals and see how he is using your money. Maybe he's building a 19th pool. Maybe he's buying himself some formerly public land! Maybe he's taking a Supreme Court justice on a dream vacation! Maybe he is reupholstering the Statue of Liberty to hide the poem.

www.theatlantic.com/newsletters/...

01.07.2025 11:58 👍 5168 🔁 1561 💬 51 📌 110
Driver’s perspective of a dashboard missing the steering wheel.

Driver’s perspective of a dashboard missing the steering wheel.

“Very funny, Jesus. Give it back.”

01.07.2025 17:41 👍 2110 🔁 220 💬 67 📌 18
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New @urbaninstitute.bsky.social analysis finds that rural hospitals will be hit by $119B/10 years with #Medicaid cuts and expiration of the enhanced ACA tax credits: $87B in reduced revenues + $23B in higher uncompensated care costs: www.urban.org/urban-wire/r...

01.07.2025 14:11 👍 25 🔁 26 💬 2 📌 0
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Worth Repeating: Pregnant Women, Infants, Young Children are NOT Protected in Proposed Medicaid cuts Last month, the U.S. House passed the One, Big Beautiful Bill Act with an array of cuts to Medicaid and other critical supports for mothers, infants, and young children. Somehow, as Joan Alker desc…

Worth Repeating: Pregnant Women, Infants, Young Children are NOT Protected in Proposed Medicaid Cuts
ccf.georgetown.edu/2025/07/01/w...

01.07.2025 14:24 👍 1 🔁 0 💬 0 📌 0
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A $1 Trillion Medicaid Cut Is THIS Close to Happening. Here’s What It’d Look Like. Republicans are about to slash a lifeline for the needy. In North Carolina, people are preparing for chaos and calamity.

A $1 Trillion Medicaid Cut Is THIS Close to Happening. Here’s What It’d Look Like. www.thebulwark.com/p/medicaid-c...

01.07.2025 03:55 👍 8 🔁 7 💬 0 📌 0

Reminder that the median Medicaid eligibility level for pregnancy is over 2x the poverty level. Many of these people Mullin is referring to are pregnant or are children. www.kff.org/medicaid/iss...

30.06.2025 18:27 👍 196 🔁 76 💬 11 📌 1

New @npwf.bsky.social report says > 140 labor and delivery units at risk of closing under reconciliation bill:

30.06.2025 19:15 👍 0 🔁 1 💬 0 📌 0

Scott amendment eliminating 90% matching rate for #Medicaid expansion is being described as just about changing federal financing. It's effectively repeal! Amendment language is nearly identical to that in a section labeled "Repeal of Medicaid Expansion" in the 2017 House-passed ACA repeal bill!

30.06.2025 17:01 👍 22 🔁 9 💬 1 📌 2