House Republicans are proposing to fundamentally alter the way the federal government has been financing Medicaid for more than 50 years. The changes are part of their plan to replace the Affordable Care Act, also known as Obamacare.
“This is potentially more major than repealing the Affordable Care Act,” said Joan Alker, the executive director of the Center for Children and Families at Georgetown University.
Medicaid provides health insurance to 74 million people, or one in five Americans. Of the 20 million who gained insurance under Obamacare, at least half were through Medicaid expansion.
The changes would not begin until 2020. But the long-term impact on states would be unequal, with some faring better than others, depending on how much they spent on the program, their demographics and whether they participated in President Barack Obama’s expansion of Medicaid eligibility.
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