Medicaid Update: March 8, 2017

Published Mar. 8, 2017

Medicaid Update: March 8, 2017

The Future of Medicaid is in Your Hands

Medicaid Update: March 8, 2017
By Ed Holen

On March 7, there was a nationally hosted conference call about the House GOP Health Care Plan to repeal and replace the Affordable Care Act.  This bill also changes Medicaid.

Timeline: March 8, House Energy and Commerce Committee  and Ways and Means Committee will mark up the bill; next week House Budget Committee and House Rules will mark up the bill and then to floor of House.  The Senate will review the Bill to assure it meets the requirements of the budget reconciliation process; goal is to pass the Bill by second week of April.

There is a lot of detail in the House bill, but here are some highlights: 

• The House GOP Plan to change the Affordable Care Act will be funded from cuts in Medicaid

• Medicaid expansion and the enhanced federal match will be phased out by 2020

• The House GOP plan looks to disadvantage those who are low income and benefit those who are higher income

• Per Capita Cap rate will be set based on 2016 expenditures

• Includes an annual growth rate increase but at a lower growth rate lower than Medicaid has seen

• House hopes to pass the bill before it is scored by CBO (CBO determines how much it will cost)

• Bill makes no structure changes to Medicaid; same mandatory State Plan services and leaves Home and Community Base Services optional

• Cap would need to first address entitlement services and reduce funding for for optional services(people with developmental disabilities use optional services to live every day)

• Changes made to the CHIP; No changes made EPSDT

• 1915 K, Community First Choice Option, would lose enhanced match (in Washington State part of the increased revenue has been used to serve 5,000 DDA clients from the No Paid Services Load)