With the newest iteration of
Not only would the
And that would leave
The current system requires that for every dollar that
In the next couple of years, more baby boomers -- seniors who often have the most cost associated with health care -- are expected to need Medicaid, said
"This is a slow-moving catastrophe we are looking at," Dillon said. "The
Even the money the state can collect from hospitals and other providers to pay for Medicaid would be reduced under the
Currently, states can collect provider taxes that make up no more than 6 percent of their revenue; in
With the bill's elimination of the individual mandate to buy insurance and the allowance for employers to no longer cover their employees, more people could become uninsured, and there could be fewer healthy people to offset the cost of sick people, Dillon said. And as hospitals take care of more people who don't have insurance, the cost of coverage will be reflected in the rising costs to those with commercial insurance, he said.
"Insurance will be prohibitively expensive (especially for sick people)," Dillon said. "This is what the marketplace looked like before the Affordable Care Act."
If the state has less money to work with from the federal government or from within the state, that could result in the following options, Dillon said: cuts to other programs in the state budget, lowering Medicaid eligibility even more, cuts in reimbursements to providers or raising revenue through taxes.
During the past legislative session, state lawmakers already put aside
"The way Medicaid is structured right now, it's already growing faster than we can keep (up) with," Fitzpatrick said. "If we become responsible for a greater portion or cost association with Medicaid, we are going to have make choices about (what) we can or can't cover."
"The draft health care legislation preserves access to care for people with pre-existing conditions, strengthens Medicaid and does not change Medicare, gives people more health insurance choices, and allows more people to stay on their family health insurance plan until they are 26," he said.
When asked for further clarification as to what in the bill "strengthens" Medicaid, Blunt spokesperson
Health care impact
Several health care advocates in
All the advocates noted that the bill could be changed with amendments before the vote, which could take place before
Locally, the bill would have an impact on residents who need health care services from
About 800 Medicaid patients access
About 90 percent of the patients at the
About 80 of the center's 400 clients are already feeling the squeeze from the state after it capped their number of hours to get in-home care. Several also have lost prescription assistance from the state through the MoRx program, which was cut from the budget this year.
"People are already in tough situations," O'Dell said. "Some of these people have to choose between their laundry -- clean clothes -- and having their meal prepared."
Brady, of the
"There are going to be longer waiting lists, and there are going to be fewer services that an individual can receive" if the uninsured population in
Area coverage under Medicaid
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