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The Hill
A large part of the House GOP plan to repeal and replace ObamaCare is predicated on the idea of giving states more flexibility to run their Medicaid programs. But with an $880 billion price tag estimated over 10 years, governors and state officials from both parties are pressing Congress to slow down.
Jeff Myers, CEO of Medicaid Health Plans of America, said the amount of the cut took him by surprise. Plans won't be able to negotiate with states if states don't know what sorts of maneuvering they'll have to do to fill the gap between federal and state payments, he said. "We think the size of that number will have a huge impact on our customers. We don't know what [states] are going to do to reform the program."
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Politico
House Republican leaders are making a last-ditch attempt to win enough support to pass their Obamacare repeal, revealing an expansive series of changes to the bill designed to woo wary GOP lawmakers.
Requested by President Donald Trump, the amendment includes perks for restive conservatives who wanted optional work requirements and block granting in Medicaid, as well as a potential olive branch to wary centrists who demanded more help for older Americans to buy insurance.
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The Hill
A Democratic lawmaker escalated attacks on the GOP healthcare plan in a blistering speech on the House floor, calling the legislation a "death sentence."
Rep. Hakeem Jeffries (N.Y.), who co-chairs the House Democrats' messaging arm, warned the bill would result in the deaths of the most vulnerable segments of the population. "It will result in tens of thousands of Americans dying," Jeffries said.
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Bloomberg
The House is racing to find enough votes for its health-care bill this week, but even if it passes, prospects in the Senate have only darkened.
More than enough Senate Republicans oppose the House bill to kill it — with rival camps insisting on pulling the bill in opposite directions to meet their demands. With just a 52-48 majority, the bill would fail if three or more Republicans vote against it.
Republican leaders face a conundrum.
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Kaiser Health News
New England's bucolic countryside looks much the same on either side of the Connecticut River separating Vermont from New Hampshire.
But Medicaid beneficiaries are far better off in Vermont.
Vermont generously funds its Medicaid program. It provides better benefits, such as dental care, and pays doctors more than New Hampshire's program does. That brings more doctors into the program, giving enrollees more access to care.
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McClatchy DC Bureau
Vital health care services for more than 17 million of the nation's most vulnerable citizens could be on the chopping block if the Republican health care bill becomes law.
If Medicaid home and community-based services are cut for children with special needs and adults and seniors with disabilities, many would either end up in costly nursing homes, require more assistance from struggling family members or simply do without the care that allows them to live independently.
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Kaiser Health News
An under-the-radar provision in the Republican proposal to replace the Affordable Care Act would require the millions of Medicaid enrollees who signed up under the Obamacare expansion to renew their coverage every six months — twice as often as under current law.
That change would inevitably push many people out of coverage, at least temporarily, experts say, and help GOP leaders phase out Medicaid expansion — a key goal of the pending legislation.
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Reuters
The Republican-proposed bill to replace Obamacare would be a credit negative for U.S. states, according to Moody's Investors Service, because it would shift a greater share of the cost of Medicaid to the states.
The bill, known as the American Health Care Act, aims to replace the Affordable Care Act, commonly known as Obamacare. The bill proposes to shift federal funding for Medicaid, the government insurance program for the poor, from a state-match to a per capita cap.
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KCUR-FM
With all of the talk in recent years about Kansas' budget problems, it can be hard to keep track of what programs have been cut and by how much.
So, some Kansans may not remember that last summer Gov. Sam Brownback ordered more than $56 million in cuts to KanCare, the state's privatized Medicaid program. Including the amount of federal matching funds lost, the cuts amounted to $128 million.
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The Associated Press via The News & Observer
Despite a national focus on the individual insurance markets, the Republican health plan being debated in Washington could have far more sweeping impact in Louisiana for other provisions that curb federal spending on Medicaid.
That redesign is estimated to come with deep spending cuts. The implications would be major for Louisiana, where more than one-third of residents get health services through the Medicaid program, financed jointly by the state and federal government.
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The Detroit News
Detroit mother Vanessa Raices, 42, said she doesn't know the ins and outs of what is happening with health care in Washington, D.C., but she knows enough to be worried.
Health care for Raices and one of her four children is covered under Michigan's Medicaid program. That coverage could change dramatically under the GOP health plan under debate by Congress.
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The State
South Carolina;s must vulnerable citizens could lose access to health care if massive Medicaid cuts proposed by congressional Republicans become law.
The American Health Care Act — President Donald Trump and the GOP House leadership's plan to replace and repeal President Barack Obama's signature healthcare law — would make big changes to Medicaid, the federal healthcare program for the poor.
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The Denver Post
Colorado would lose out on $14 billion in federal funding for Medicaid by 2030 if Congress repeals the Affordable Care Act and replaces it with the Republican-backed plan known as the American Health Care Act, according to a new report.
The report, by the nonpartisan Colorado Health Institute, also found that 600,000 fewer people would likely be covered by Medicaid in the state by 2030 than if the current law remains in place.
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HFMA
The healthcare leaders of the Trump administration this week urged states to take the lead of coverage through a range of approaches previously rejected by the Obama administration.
Health and Human Services Secretary Tom Price invited states to apply for Section 1332 waivers under the ACA and promised to have them reviewed on an "expedited basis." Price also joined newly confirmed Centers for Medicare & Medicaid Services Administrator Seema Verma in welcoming new Medicaid flexibility for states. The shift toward encouraging a wider range of waivers was expected, in part, because Verma previously worked for years as an adviser to states in crafting waiver proposals.
"I think she'll be more open than the last administration to different state designs that are financially manageable," Jeff Myers, president and CEO of Medicaid Health Plans of America, said in an interview. "We're looking forward to working with her."
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