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Medicaid Undone?
Covering the Safety Net’s
Future
July 26, 2017
Senate Process This Week After
“Motion to Proceed”
2
•Votes on three bills:
•Modified Senate bill (Tuesday night)
•Repeal without replacement (Wednesday morning)
•Placeholder bill to get to conference (End of 20 hrs
debate)
.
CBO Estimate of
Repeal without Replace
Latest CBO Estimate of
Senate Bill (Better Care Reconciliation Act)
Large and Growing Medicaid Cuts
Sharp Reductions in Medicaid Enrollment
How Medicaid Financing Now Works
7
Expansion Matching Rate Reduced to Regular
Matching Rate Starting in 2021
8
States Must Dramatically Increase Own
Spending to Maintain Expansion
9
How Medicaid Per Capita Cap Works
10
How Medicaid Per Capita Cap Shifts Both Costs
and Risks to States
11
Medicaid Cuts Grow Deeper in Coming Decades
12
13
Medicaid Is Already Efficient
How States Can Compensate for Federal
Medicaid Funding Cuts
14
2. 3.1.
•States must raise taxes
•Cut other parts of their budget like education
•Cut Medicaid benefits, eligibility and provider payment rates.
Edwin Park
park@cbpp.org
@EdwinCBPP
www.cbpp.org

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