Health Care Hub

Medicaid

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6/29/2017

Analysis of Senate Bill BCRA

with consideration of HCBS

The Better Care Reconciliation Act (AHCA) proposes to cap Federal Medicaid reimbursements to the states on a per-enrollee basis, effectively limiting growth to a rate only modestly exceeding the rate of inflation. The cap would be set according to each state�s 2016 perenrollee spending, inflation-adjusted for each subsequent year. Caps would take effect in 2020. The inflation adjustment for 2016 to 2019 is the consumer price index for medical care (CPIMC) for all types of enrollees, including people with disabilities and seniors who receive HCBS. Between 2020 and 2024, adjustments depend on enrollment category: the adjustment for people with disabilities and seniors is set at CPI-MC plus 1 percentage point, and the adjustment for other enrollment categories is CPI-MC. Beginning in 2025, the inflation adjustment is greatly reduced to the Consumer Price Index for all items, which does not take into account the higher growth rate of healthcare costs.1 Over the past ten years, the growth in the Consumer Price Index for all items averaged 1.8 percent per year, and the CPI-MC increased by an average of 3.3 percent per year. For most people who receive HCBS, it is by far the largest component of their Medicaid spending. If the AHCA were to be enacted, it is reasonable to assume that most states would limit HCBS spending to the per-enrollee cap amount; otherwise, any excess comes entirely out of the state budget.

 
 

6/29/2017

Impact of Medicaid Caps in Alaska

Executive Summary Medicaid caps would severely impact spending on home and community-based services in Alaska, where more than 7,000 people rely on these services to remain in their homes, avoid institutionalization, and participate in their communities.

 
 

6/29/2017

Impact of Medicaid Caps in Arizona

Executive Summary Medicaid caps would heavily impact spending on home and community-based services in Arizona, where more than 45,000 people rely on these services to remain in their homes, avoid institutionalization, and participate in their communities.

 
 

6/29/2017

Impact of Medicaid Caps in Colorado

Executive Summary Medicaid caps would severely impact spending on home and community-based services in Colorado, where more than 29,000 people rely on these services to remain in their homes, avoid institutionalization, and participate in their communities.

 
 

6/29/2017

Impact of Medicaid Caps in Nevada

Executive Summary Medicaid caps would severely impact spending on home and community-based services (HCBS) in Nevada, where more than 11,000 people rely on these services to remain in their homes, avoid institutionalization, and participate in their communities. If Medicaid caps similar to those in the Republican healthcare bill had been enacted in the decade of the 2000s, limits on Federal reimbursements would probably have caused Nevada to drastically limit the growth of its home and community-based services programs.

 
 

6/29/2017

Impact of Medicaid Caps in West Virginia

Executive Summary Medicaid caps would severely impact spending on home and community-based services (HCBS) in West Virginia, where more than 18,000 people rely on these services to remain in their homes, avoid institutionalization, and participate in their communities. If Medicaid caps similar to those in the Republican healthcare bill had been enacted in the decade of the 2000s, limits on Federal reimbursements would probably have caused West Virginia to drastically limit the growth of its home and community-based services programs.

 
 

6/29/2017

Sustained Action Needed Over the Recess to Protect our Health and Long Term Care

As you know, Senate Majority Leader McConnell (R-KY) postponed plans to vote on the Better Care Reconciliation Act (BCRA) this week due to a lack of support (he needs at least 50 Republican Senators). However, he plans to bring up the bill as soon as possible after Senators return from the Independence Day recess on July 10. It is unclear if McConnell will wait for a new CBO score on a revised bill or try to quickly hold a vote. The House plans to pass the Senate bill without any changes. It will then go to the President�s desk. Unless we stop it.

 
 

6/23/2017

Weekend Alert to #SaveMedicaid

The Senate released its bill, the Better Care Reconciliation Act, to repeal the Affordable Care Act and to make deep cuts and caps to the Medicaid program. This bill, if it becomes law, would have the biggest and most devastating impact on health and community services for people with disabilities in 25 years. The Senate could pass the bill as soon as Thursday, June 29. If this terrible bill is passed by the Senate, it could easily and quickly be passed by the House and signed into law! AUCD must join in coalition with other disability and civil rights groups in your states to educate Senators this weekend, Monday and Tuesday. Time is of the essence!

 
 

6/6/2017

AUCD Joins Thousands of Civil Rights and Disability Advocates to Protect Medicaid Health and Home and Community Based Services

"Voters did not ask for cuts to Medicaid and the President promised not to make cuts to Medicaid," said Andrew Imparato, Executive Director of AUCD. "Radically restructuring and cutting Medicaid puts the entire national support system for our community at risk."

 
 

5/16/2017

House Health Care Bill Ends Medicaid as We Know It

by Center on Budget and Policy Priorities

The American Health Care Act (AHCA), which the House passed on May 4, would radically restructure Medicaid�s federal financing and effectively end the Affordable Care Act�s (ACA) Medicaid expansion, reducing enrollment by 14 million people by 2026 and cutting federal spending by $839 billion over ten years. The bill�s other Medicaid changes would cut another $19 billion over ten years. All told, the AHCA would have a devastating impact on health care for over 70 million people who rely on Medicaid, including over 30 million children and millions of seniors, people with disabilities, pregnant women, and low-income adults.

 
 

5/15/2017

2017 State Medicaid Fact Sheets

Children's Hospital Association

The State Medicaid Fact Sheets, a joint effort of the Children's Hospital Association and the American Academy of Pediatrics (AAP), provide key data to demonstrate the importance of the Medicaid program to children, pediatricians and children's hospitals. The fact sheets can be used with state and federal policymakers and can be adapted to meet your targeted advocacy needs. The fact sheets are available for all 50 states and the District of Columbia. Use the drop down menu or the map to view the Medicaid Fact Sheet for your state.

 
 

5/15/2017

All 50 States and D.C. CHIP Fact Sheets

National Academy for State Health Policy

These Children�s Health Insurance Program (CHIP) fact sheets provide up-to-date information about CHIP for each state, including data on enrollment, participation rates, eligibility levels, benefits, cost sharing requirements, and other key program characteristics. With support from the David and Lucile Packard Foundation, the 2016 fact sheets have been updated to include any programmatic changes implemented as a result of ACA provisions. All of the CHIP Fact Sheets published are listed below in Adobe Acrobat PDF format. Either right mouse click and choose Save As.. or click on the link and save in Adobe Acrobat when the document opens.

 
 

5/15/2017

State Health Facts

Kaiser Family Foundation

Medicaid and the Children�s Health Insurance Program (CHIP) provide health and long-term care coverage to more than 70 million low-income children, pregnant women, adults, seniors, and people with disabilities in the United States. Medicaid is a major source of funding for hospitals, community health centers, physicians, and nursing homes. Federal policy proposals to restructure Medicaid could fundamentally change the scope and financing of the program. The two-page fact sheets provide a snapshot with key data for Medicaid in every state related to current coverage, access and financing. What percentage of people are covered by Medicaid/CHIP in your state? Click on a state or the US to download a fact sheet.

 
 

5/11/2017

The House Passed Health Bill Cannot Be Fixed

Center on Budget and Policy Priorities

This CBPP article explains "The House-passed health bill, the American Health Care Act, or AHCA, slashes programs that help people get health coverage, using most of the savings to pay for tax cuts for high-income households and corporations. The bill would effectively end the Affordable Care Act�s (ACA) Medicaid expansion for low-income adults; cut and radically restructure Medicaid funding for seniors, people with disabilities, and families with children; increase premiums, deductibles, and other out-of-pocket costs for millions of people with individual market coverage; and give millionaires tax cuts averaging more than $50,000 per year, partly at the expense of the Medicare trust fund."

 
 

5/5/2017

Summary of the American Health Care Act

Kaiser Family Foundation

This summary describes key provisions of H.R. 1628, the American Health Care Act, as passed by the House of Representatives on May 4, 2017 as a plan to repeal and replace the Affordable Care Act (ACA) through the Fiscal Year 2017 budget reconciliation process.

 
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