Senate Bill Would Effectively Eliminate Medicaid Expansion by Shifting Hundreds of Billions in Expansion Costs to States
Like the House bill and unchanged from the prior version of the
Under the
To maintain their expansions, states would have to raise their spending by
On top of that, the
In addition, at least nine Medicaid expansion states --
Even non-trigger states would see sharply higher costs for new expansion enrollees starting in 2021. Few states could generate the extra funding needed to keep their expansions going -- by raising taxes or cutting other parts of their budgets, like education -- since the federal cuts, and required state increases, would rise each year. Thus, even non-trigger states would likely end their expansions in 2021 or soon after. The 11 million low-income adults covered by the Medicaid expansion who would have been ineligible for Medicaid, and likely uninsured, under pre-ACA rules would be in severe jeopardy of once again going without quality, affordable health coverage.
See the details here (https://www.cbpp.org/research/health/senate-bill-would-effectively-eliminate-medicaid-expansion-by-shifting-hundreds-of)
Footnotes:
[1] See "Draft Senate Republican Health Bill," https://www.budget.senate.gov/imo/media/doc/BetterCareJuly13.2017.pdf.
[2] Based on CBPP analysis. We use 2015 Medicaid expansion population spending data from the
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