WASHINGTON - The Supreme Republican is considering withdrawing a key part of the Affordable Care Act in its massive agenda bill for President Donald Trump, exploring savings by cutting how much the federal government spends to cover the money that law expands Medicaid in 2010.
R-Ky, Chairman of the House Energy and Commerce Committee. Rep. Brett Guthrie filed the case on Monday, with Congress returning from a two-week lounge saying Medicaid spending is growing at an unsustainable rate.
"We have a growing population and get 90% of federal funding, and you have traditional (Medicaid), so children with disabilities in Kentucky get 72 cents when they go to the doctor. We know this is not sustainable," Guthrie said. "We want to fix this so that everyone gets coverage. So, I think it will be a really responsible response."
According to Congress’ nonpartisan budget scorers, Gusri’s committee is tasked with finding $880 billion in savings, a goal that cannot be achieved without cutting Medicaid or Medicare.
The options menu includes changes to change the percentage of Medicaid federal medical assistance (or FMAP) and the expansion of new per capita cap for the population covered. Although Guthrie did not confirm the reason for putting it in the package, he said he wanted to finalize it and vote to pass the committee next week.
90% of federal games are key to Medicaid expansion under the ACA, also known as Obamacare, induces the state to adopt the provision, and has since expanded coverage to an estimated 20 million people in more than 40 states.
“The ACA took a three-proged approach to increasing access to health coverage — Medicaid expansion, tax credits to make premiums more affordable for those who lack employer-provided insurance and pre-existing condition protections. The Medicaid expansion has been a key part of reducing the uninsure rate to the lowest levels in history,” said Larry Levitt, executive vice president for health policy at KFF, a research group.
Levitt said 90% of federal commitments are “critical to getting Medicaid in red and blue states after the Supreme Court becomes optional.” He added that reducing it to the traditional tax rate of Medicaid paid by the Federal Reserve “will be a huge cost shift to states and many will have a hard time taking out the extra money.” “Some states even have triggers that can eliminate the expansion if the match rate is lower.”
Medicaid funding has become the biggest policy issue when it comes to creating partisan bills for Trump’s agenda, and they are working to pass, including expanding his 2017 tax cuts, strengthening funding for immigration enforcement and the military, and raising debt restrictions.
R-la. Speaker Mike Johnson made an ambitious schedule for the homes before Memorial Day.
Guthrie told NBC News that he was working to find consensus given the narrow majority of the House Republican Republicans, who did not win Democrats’ support for the program.
People say, 'This is my red line. I can't get over it. 'We said, "Okay, where can we meet?" That's what we are working on. ” he said.
R-Ga. Rep. Austin Scott endorses potential Medicaid changes.
“When the Dems expanded Medicaid under the Affordable Care Act, they made that percentage match 90-10%. So the federal government is paying 90% of the Medicaid expansion. So what we have talked about is moving that 90% level of the expansion back towards the more traditional levels of 50% to approximately 80%, instead of the 90-10 — 90% being federal, 10% being state — match,” Scott said last week on Fox News.
He continued: “As long as the governor decides to continue funding the program, Medicaid will not be initiated. So we will ask states to receive and pay some additional Medicaid.”
Some lawmakers expressed doubts about the proposal.
"It's easy to say. States can't print money the way they're here. So it's hard for the state to make up for that difference," said Sen. Angus King, I-Maine. "It will be very harmful to people. One thing people don't realize is that 70% of nursing homes in Maine are Medicaid. ... So, this cut will be a burden on the state and it's hard to meet."
Many Republicans have expressed reservations about the sharp cuts in Medicaid, and their votes could make the bill's prospects create or break the bill's prospects. Even Trump promised that reducing Medicaid funds would not harm benefits.
R-Alaska Senator Lisa Murkowski said she was skeptical of the funds obtained under the ACA.
“Not only do I support the ACA premium subsidy, but Alaska does see the direct benefits of Medicaid expansion,” Merkowski said Monday. “For my state, premium support is very important. Many people’s fear is those who disappear and people will not be able to afford health care.
"They're still going to have challenges. They still need care. They're going to end up in the emergency room," she added. "So these are some of the things that the Alaskas share with me."
R-Maine Senator Susan Collins said she has not seen details of Medicaid policy yet.
“One thing I support is the well-crafted work requirements for sound adults without preschoolers,” she told reporters. “But I want to make sure we don’t deprive older people, children, low-income families, people with disabilities and our rural medical hospitals.”
RN.Y. Rep. Mike Lawler said on the FOX business last week that he has job requirements for sound adults, Medicaid citizenship verification and more frequent eligibility checks.
"Other than that, I'm not going to consider any changes to cut anyone's interests," Lawler said.
House Minority Leader Hakeem Jeffries (DN.Y.
"Donald Trump, Elon Musk, Rubber Post Republicans in the Administration and Senate are under attack. These people, these extremists, they want to compare health care with the American people," Jeffries told reporters. "In terms of this FMAP," he said. Proposals, which are all part of the same plan. They want to end Medicaid as we know it. They will harm children, families, elderly people, disabled people, and close nursing homes. People will die. ”
But 50% of floors on Medicaid FMAP outside the expansion population are unlikely to change, Gusri said.
“There are a lot of negotiations on FMAP,” he said. “I think everything is on the table until we figure out where the 218 (vote) is, but it will be a harder thing to change.”