from Center on Budget and Policy Priorities:
The updated House Republican plan to repeal the Affordable Care Act (ACA) takes an already damaging plan – the previous version of this House GOP legislation – and makes it even more harmful for the tens of millions of children, seniors, people with disabilities, and other adults who rely on Medicaid.
By effectively ending the Medicaid expansion and converting Medicaid to a per capita cap, the previous version of the House Republican plan would have cut federal Medicaid spending by $880 billion over the next ten years and reduced Medicaid enrollment by 14 million people in 2026, the Congressional Budget Office (CBO) estimated. The updated version makes additional changes to Medicaid that are even more damaging overall.
The bill would:
- Give states the option to convert the Medicaid programs into block grants;
- Impose onerous work requirements on adult beneficiaries; and
- Freeze enrollment in the ACA’s Medicaid expansions starting in 2020.
These provisions would likely add to the millions of people who would have Medicaid coverage under the ACA but would become uninsured under this legislation. They would also cut needed care still more deeply for many who keep their Medicaid coverage.