The Senate's plan takes deep cuts from the Medicaid program, which affects some states more than others.
The Senate Republicans' plan to overhaul the US healthcare system could have a big impact on the healthcare funding that states receive.
The Senate's plan, like the one passed by the House of Representatives in May, calls for the dismantling of many of the provisions of the Affordable Care Act, the healthcare law also known as Obamacare, and would cut funding to the Medicaid program. Those cuts, if the bill becomes law, could hit some states more than others.
The nonpartisan Congressional Budget Office estimated that the plan — titled the Better Care Reconciliation Act — would result in 22 million fewer people insured by 2026 than the current healthcare system. Cuts to Medicaid would reach $772 billion by 2026.
Here's what those cuts would look like at a state-by-state level by 2026, as analyzed by healthcare consulting firm Avalere:
The states that would see the biggest reduction in funding are those that opted into the Medicaid expansion.
Obamacare gave states the option of expanding their Medicaid programs — providing health insurance to more low-income people. For states that opted into the expansion, people whose household incomes were up to 138% of the federal poverty level could qualify for coverage.
Under the BCRA, that expansion would be phased out, meaning those receiving coverage through the expansion would be without once again, though they could access coverage through the individual insurance market.
The CBO, however, said it did not expect many of those who would fall out of Medicaid eligibility under the BCRA to purchase insurance "because of the expense for premiums and the high deductibles" for plans on the individual markets.
As of 2017, 31 states and Washington, DC, had adopted the Medicaid expansion.
The Senate's plan takes deep cuts from the Medicaid program, which affects some states more than others. Read Full Story
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