The document discusses the potential future impacts of proposed Medicaid cuts and the legislative process surrounding various Senate bills in July 2017. It highlights the consequences of reducing Medicaid funding, including increased state spending and potential cuts to essential services. Overall, the document emphasizes the challenges states face in maintaining Medicaid without federal support.

1. Medicaid Undone?
Covering the Safety Net’s
Future
July 26, 2017

2. 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)
.

3. CBO Estimate of
Repeal without Replace

4. Latest CBO Estimate of
Senate Bill (Better Care Reconciliation Act)

5. Large and Growing Medicaid Cuts

6. Sharp Reductions in Medicaid Enrollment

7. How Medicaid Financing Now Works
7

8. Expansion Matching Rate Reduced to Regular
Matching Rate Starting in 2021
8

9. States Must Dramatically Increase Own
Spending to Maintain Expansion
9

10. How Medicaid Per Capita Cap Works
10

11. How Medicaid Per Capita Cap Shifts Both Costs
and Risks to States
11

12. Medicaid Cuts Grow Deeper in Coming Decades
12

13. 13
Medicaid Is Already Efficient

14. 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.

15. Edwin Park
park@cbpp.org
@EdwinCBPP
www.cbpp.org