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Protect Medicaid Funding

In a news series of fact sheets called Protect Medicaid Funding, NHeLP provides a succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of vulnerable individuals who depend on the Medicaid guarantee every year.



The Importance of National Coverage Standards in Medicaid

Currently, federal Medicaid law ensures that beneficiaries can access health services that reflect standards of care, write Legal Director Jane Perkins and Staff Attorney Catherine McKee in this fact sheet.



What Coverage and Financing is at Risk Under a Repeal of the ACA Medicaid Expansion?

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As a discussion about a repeal of the Affordable Care Act (ACA) unfolds, questions emerge about how a repeal may affect Medicaid. The specific effects would depend on many factors that are currently unknown, including whether there is a replacement for the ACA, what happens to federal Medicaid expansion funding, and whether broader changes to the underlying financing structure of the Medicaid program are made. While it is difficult to quantify the specific effects of a repeal given these unknowns, this issue brief examines the changes in coverage and financing that have occurred under the Medicaid expansion to provide insight into the potential scope of coverage and funding that may be at risk under a repeal.



Role of Medicaid and Whats at Risk Under a Block Grant or Per Cpita Cap

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This slideshow from the Kaiser Family Foundation explains how Medicaid works now and what is at stake as policymakers in Washington consider converting program financing to a block grant or per capita cap.



How Medicaid Helps Your State

As of the November 2016 open enrollment period, Medicaid and the Children's Health Insurance Program have added a total of 16.4 million beneficiaries nationally since the Affordable Care Act (ACA) coverage expansions went into effect. Moreover, billions of dollars in federal funding for health care have flowed into states. Both a repeal of the ACA and Medicaid expansion and alternative approaches to funding, such as block grants, are now under discussion. These changes may result in less federal funds for states to spend on Medicaid, and lead to reduced access to care, reduced payments to health care providers, and job losses. Click on a state in the map below to view a state Medicaid fact sheet, or browse by state alphabetically below the map.



State Snapshots on Coverage for Children

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What are Per Capita Caps?

A Per-Capita Cap for Medicaid Would Hurt Seniors, People with Disabilities, and Families with Kids: A Per-Capita Cap Shares the Same Downsides as a Block Grant



Medicaid cuts are a bad deal for state

Even Medicaid Block Grants and Per Capita Caps with Modest Funding Cuts Shift Significant Risks and Costs to States



Caps on Federal Medicaid Funding Would Give States Flexibility to Cut, Stymie Innovation

President-elect Trump, House Speaker Paul Ryan, and Health and Human Services Secretary nominee Tom Price support radically changing Medicaids basic structure by converting the program to a block grant or what is known as a per capita cap and reducing federal funding for the program over time.



PRIMER: Medicaid Block Grants & Per Capita Caps

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