"Without that, we wouldn't be able to get them into treatment beds," Pierce said.
Pierce was not sure how many of her patients became newly eligible for Medicaid when the program was expanded in 2014 -- but state
Over the past five years, 23,000 people in
When Health and Human Services Secretary
"Medicaid spending will grow at a more sustainable rate by ending the financial bias that currently favors able-bodied working-age adults over the truly vulnerable," the
In the budget document and during the hearing Tuesday, Azar and other administration officials framed the change as remedying a bias that resulted in more federal funding going toward health insurance for people who are not disabled or pregnant, and for adults over children.
"Trying to justify this cut by saying this is about 'regularizing' Medicaid funding is grossly Orwellian," Shaheen said in a statement, "when the truth is it would simply kick Granite Staters off their health care and treatment."
Azar told Shaheen that meant reducing the federal reimbursement rate for people who got health insurance through Medicaid expansion -- the piece of the Affordable Care Act that raised the income level to qualify for Medicaid.
The federal-state split varies by state, but right now,
In a hearing Tuesday, Azar said the budget proposal would make the federal reimbursement rate the same for Medicaid and Medicaid expansion programs like Granite Advantage.
This would either put
"That reduction in funding would make it impossible for states to make up the difference without ending Medicaid expansion," said Shaheen spokesperson
Shaheen said the Trump administration's proposal would seriously hurt
"There is no alternative in states like
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