On August 30, 2017, a bipartisan coalition of Governors issued a letter to Congress on steps needed to restore stability and affordability in coverage to 22 million Americans served through individual health insurance markets under the Affordable Care Act (ACA). 

After the hiring process, training is the most important aspect in the development of a good case manager. Training is understood to be an important first step by management of administration in understanding the philosophy of child welfare and child protection, the policies and practices of the agency, and the functions necessary to become an effective and efficient case manager. 

On July 28, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to implement $43 billion in reductions in federal Medicaid allotments to state Medicaid agencies for payment adjustments to hospitals serving a disproportionate share of low-income persons. The reductions in such allotments under the proposed rule will apply to federal fiscal years 2018-2025.