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News
Healthcare costs adding more strain to state budgets
4+ hour, 45+ min ago (701+ words) As the Trump administration transfers more Medicaid costs onto states, concerns are rising over the curtailment of subsidies provided by the Affordable Care Act. "ACA marketplace enrollment has already declined 12% year over year, and KBRA finds that states face competing…...
States' push to limit healthcare costs adds to pressure on healthcare issuers
2+ day, 9+ hour ago (1609+ words) For years, the high cost of healthcare and health insurance has been a frustration for Americans and their state governments. It's no surprise, then, that states have enacted a variety of attempts to limit healthcare costs. Add these state efforts…...
Two massive healthcare deals were accelerated on Monday
4+ week, 1+ day ago (577+ words) Two mega hospital deals were accelerated Monday to take advantage of improved municipal market conditions, as demand for healthcare paper remains strong. The two hospital deals were among the first to price Monday, including the $1.317 billion of Michigan Finance Authority…...
Tax-exempt hospitals — 'hedge funds with hospital beds' — face more scrutiny under bill
1+ mon, 3+ week ago (674+ words) Large tax-exempt hospitals would face more detailed community benefit reporting requirements to justify their tax breaks under a bill that the House Ways and Means Committee passed last week. "Taxpayers and patients have a right to know how their hospital,…...
Bullish news for Virginia budget
2+ mon, 4+ week ago (648+ words) The Old Dominion's unresolved budget is taking a step forward thanks to a revised revenue forecast netting a $585.5 million improvement over what was expected. Gov. Abigail Spanberger conveyed the news to the leaders of the Senate and House appropriations committees…...
Federal funding cuts could drastically harm healthcare sector
3+ mon, 2+ week ago (938+ words) The Bond Buyer Policy Pulse Survey was fielded online during March 2026 with 82 municipal finance professionals who work across a variety of roles in the buy side, sell side and issuer market segments. This item is the end of a series…...
Healthcare manager sued by UMB over bond-financed addiction facilities fights receivership
3+ mon, 2+ week ago (920+ words) The manager of a pair of bond-financed Indiana healthcare centers sued by UMB Bank NA for mismanagement accused the bond trustee of exaggerating the facilities' problems and warned receivership would sink the $117 million of bonds issued to finance the project....
UMB sues Public Finance Authority, addiction center manager after 'collapse"
4+ mon, 3+ week ago (1212+ words) Bond trustee UMB Bank NA has sued Wisconsin's Public Finance Authority and a trio of healthcare management companies over the "collapse" of two Indiana-based addiction treatment centers financed with $117 million of tax-exempt bonds. UMB has asked the court to appoint…...
Oklahoma budget deal struck as Medicaid changes sought
5+ mon, 8+ hour ago (479+ words) Top Republican Oklahoma officials announced a fiscal 2027 budget deal on Wednesday as they advance ballot measures to restrain Medicaid spending. Gov. Kevin Stitt praised the $12.78 billion agreement for his last budget in office, highlighting a plan to beef up the…...
Higher education, healthcare expect tough conditions ahead
5+ mon, 1+ week ago (1494+ words) The Bond Buyer Predictions 2026 survey was fielded online during November and December, with responses from 74 municipal finance professionals. Respondents represent a range of organization types, with the largest shares from broker-dealers (27%), issuers (18%), municipal advisors (16%), and law firms (8%). This item is…...