Stay ahead of developments in federal and state health care law, regulation and transactions with timely, expert news and analysis.
By Alex Ruoff
States are likely to see less federal funding for their Medicaid programs but greater flexibility to experiment with those programs under a Republican ACA replacement plan, according to a House lawmaker.
State Medicaid programs, including those that were expanded under the Affordable Care Act, would move to a “shared partnership” with the federal government, where states will pay a larger share than they do now, Rep. Pat Tiberi (R-Ohio) told reporters Jan. 5. However, the federal government will more freely grant waivers to states to allow them to experiment with new coverage models designed to reduce their Medicaid budgets, he said.
“With a partnership, there might be less federal funding but there’s more flexibility for states to be innovative to deal with their own Medicaid population,” Tiberi, who chairs the House Ways and Means health subcommittee, said. His is one of two committees in the House charged with designing an ACA repeal.
Senate Republicans kicked off their ACA repeal plan recently by starting debate of a budget plan. Under congressional rules, the House and Senate can pass ACA repeal provisions using this vehicle with a simple majority.
Republicans have yet to coalesce under a single plan for replacing the ACA’s key provisions, including billions of dollars to states that expanded their Medicaid programs and subsidies for Americans with low incomes to purchase health insurance on the individual marketplace. Aides to Senate Republican leaders have said lawmakers want to end some insurance industry regulations and taxes quickly but expect to maintain other provisions for as long as four years.
Tiberi said House members are still debating key parts of their plan. He said their plan would mitigate the number of people who lose their health insurance, including those on Medicaid.
Many states, including Ohio, asked the Obama administration for waivers to federal requirements for their Medicaid programs that would allow them to charge enrollees premiums or require participants to pay into a health savings account. These requirements are designed to reduce state spending on Medicaid and promote personal responsibility.
The Centers for Medicare & Medicaid Services denied Ohio’s waiver request in September. The state claimed the waiver would have saved Ohio around $1 billion over five years ( 177 HCDR, 9/13/16 ).
President-elect Donald Trump has similarly pushed for state flexibility on Medicaid, with many analysts saying the program might be converted to block grants or per capita payment caps. These would limit the amount of federal money going to state Medicaid programs and also allow states to impose their own requirements. Critics suggest these changes would have a net effect of cutting benefits and, together with measures such as work requirements, moving the program back to temporary, safety-net coverage.
To contact the reporter on this story: Alex Ruoff in Washington at email@example.com
To contact the editor responsible for this story: Kendra Casey Plank at firstname.lastname@example.org
Copyright © 2017 The Bureau of National Affairs, Inc. All Rights Reserved.
All Bloomberg BNA treatises are available on standing order, which ensures you will always receive the most current edition of the book or supplement of the title you have ordered from Bloomberg BNA’s book division. As soon as a new supplement or edition is published (usually annually) for a title you’ve previously purchased and requested to be placed on standing order, we’ll ship it to you to review for 30 days without any obligation. During this period, you can either (a) honor the invoice and receive a 5% discount (in addition to any other discounts you may qualify for) off the then-current price of the update, plus shipping and handling or (b) return the book(s), in which case, your invoice will be cancelled upon receipt of the book(s). Call us for a prepaid UPS label for your return. It’s as simple and easy as that. Most importantly, standing orders mean you will never have to worry about the timeliness of the information you’re relying on. And, you may discontinue standing orders at any time by contacting us at 1.800.960.1220 or by sending an email to email@example.com.
Put me on standing order at a 5% discount off list price of all future updates, in addition to any other discounts I may quality for. (Returnable within 30 days.)
Notify me when updates are available (No standing order will be created).
This Bloomberg BNA report is available on standing order, which ensures you will all receive the latest edition. This report is updated annually and we will send you the latest edition once it has been published. By signing up for standing order you will never have to worry about the timeliness of the information you need. And, you may discontinue standing orders at any time by contacting us at 1.800.372.1033, option 5, or by sending us an email to firstname.lastname@example.org.
Put me on standing order
Notify me when new releases are available (no standing order will be created)