House Republican Proposals to Radically Overhaul Medicaid Would Shift Costs, Risks to States

House Republicans released a document last week outlining plans for sweeping health care legislation.[1]  The document shows that the starting point for House Republican proposals remains the Affordable Care Act (ACA) “repeal and delay” legislation that President Obama vetoed last year — a bill that would increase the number of uninsured by 32 million people, according to Congressional Budget Office (CBO) estimates.[2]  Moreover, in the case of Medicaid, the document shows that House Republicans plan to pursue cuts that go far beyond those in last year’s repeal bill.  On top of effectively ending the ACA’s Medicaid expansion, which has extended coverage to 11 million low-income adults, House Republicans intend to use ACA repeal legislation to fast track their longstanding proposal to convert Medicaid to a per capita cap or block grant.  That proposal would shrink federal Medicaid funding over time, result in even deeper funding cuts when needs increase, and ultimately place coverage for tens of millions more Americans at risk.[3]

– Center on Budget and Policy Priorities

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