House Republicans are proposing to fundamentally alter the way the federal government has been financing Medicaid for more than 50 years. Of the 20 million who gained insurance under Obamacare, at least half were through Medicaid expansion. Federal spending on Medicaid flexes as states alter their policies, eligibility rules and payment rates for doctors, hospitals and nursing homes. +14% South Dakota –1%This is partly because spending for older Americans, along with the disabled, make up a larger proportion of Medicaid spending, even though they are a smaller share of enrollment. Could Fare Better States that did not expand Medicaid Could Fare Worse States that expanded MedicaidIn a shift from previous proposals, the Republican legislation does not immediately repeal Medicaid expansion.

Source: New York Times March 07, 2017 20:23 UTC