Talking Points: Revised CBO Score – Short Version

 

Today’s updated Congressional Budget Office (CBO) score shows that the GOP repeal bill will destroy America’s health care. The analysis shows that the 23 million will lose coverage, millions of people with pre-existing conditions will be at risk of paying higher premiums or giving up coverage, and Medicaid will be cut by $834 billion, putting healthcare in jeopardy for seniors, children, people with disabilities and families.

  • The Republican AHCA bill waters down coverage and makes coverage for essential health benefits like maternity and newborn care, mental health treatment, prescription drugs among many others optional for insurance companies.
  • The AHCA still defunds Planned Parenthood, the source of healthcare for over 2 million people, many in rural communities where there are no other providers of basic health care.
  • The bill still makes radical changes to Medicaid, starving the program, killing jobs and shifting huge burdens to state budgets that could put many services at risk.
  • At the same time that the bill takes healthcare away and raises costs for millions, it gives over $600 billion tax breaks to the rich, insurance and prescription drug companies.

Today’s CBO score affirms what we already know: the Republican repeal bill doesn’t fix healthcare, it dismantles our health care and makes things worse. That’s why less than half of Americans support the bill.

The Senate should reject this dangerous bill. Instead, Senators should work with Democrats to develop proposals that improve, expand and protect health care. Any Senate bill should ensure that no one loses health care, including people who got coverage from the expansion of Medicaid, and should reject block grants and caps in that make permanent cuts in Medicaid services for children, seniors, people with disabilities and poor adults who have no other source of healthcare.

Talking Points: Tell Congress: Don’t Take Our Health Care

 

Shortest message

The Senate should not vote for any bill that does what the Republican bill in the House does: takes away our health care, cuts Medicaid, raises our premiums and jeopardizes protections for people with pre-existing conditions. All to give massive tax cuts to the very wealthy and drug and insurance corporations.

Core message

The Republican health care bill takes health care away from 24 million Americans, slashes Medicaid, sends premiums through the roof, and puts people with pre-existing conditions back at the mercy of the private insurance companies. It promotes barebones coverage, even weakening protections for people who get health insurance and defunds Planned Parenthood. All to give huge tax breaks to the wealthy and drug and insurance corporations. To get their way, Trump and the Republicans in Congress are now sabotaging care for the millions of Americans who rely on the Affordable Care Act, by hiking premiums and co-payments and chasing insurance companies out of providing coverage.

Key points to make

  • The Republican bill takes coverage away from 24 million Americans – 14 million next year alone – by drastically cutting tax credits to buy coverage and by making enormous cuts in state funding for Medicaid.
  • The Republican bill will slash Medicaid by $880 billion in two ways – taking away Medicaid expansion coverage from millions of people and radically restructuring the federal funding for the basic Medicaid program to starve it over the years, forcing eligibility and benefit cuts. Their gutting of Medicaid threatens the health care of 74 million Americans – from children to seniors – who rely on Medicaid every day and blows huge holes in state budgets.
  • The Republican bill jacks up premiums the most for people over 50 years old and families with moderate incomes.
  • The Republican bill is an attack on women’s health care, from family planning and preventive services to the half of pregnant women who rely on Medicaid to pay for their children’s births to the millions of older women who rely on Medicaid to pay for their long-term care.
  • Trump and Republicans in Congress are actively sabotaging Obamacare now, to justify their repeal wrecking ball. They are decreasing the number of people who have coverage and refusing to make promised payments to lower out-of-pocket costs, all of which is leading to insurance companies raising premiums even higher and fewer insurance companies offering coverage.
    • The problem the ACA faces is Republican sabotage and repeal – not the markets. A record number of people gained coverage under the ACA, and the biggest insurance companies made robust profits – some tripling their profits from 2011 to 2015. 
    • If Trump and Republicans in Congress really wanted to protect our health care, they would stop sabotaging Obamacare and immediately support provisions in the ACA that make private insurance more affordable and offer Medicaid or Medicare alongside private insurance, so everybody has a choice of insurance plans.

Talking Points: Tell Congress: Don’t Take Our Health Care by Wrecking Medicaid

 

Core message

The Republican health care bill takes health care away from 24 million Americans, slashes Medicaid, sends premiums through the roof, and puts people with pre-existing conditions back at the mercy of the private insurance companies. It promotes barebones coverage, weakens protections for people who get health insurance, and defunds Planned Parenthood. All to give huge tax breaks to the wealthy and drug and insurance corporations. To get their way, Trump and the Republicans in Congress are now sabotaging care for the millions of Americans who rely on the Affordable Care Act, by hiking premiums and co-payments and chasing insurance companies out of providing coverage.

Core message on Medicaid

The Republican health care bill slashes Medicaid by $880 billion in two ways – taking away Medicaid expansion coverage from millions of people, and radically restructuring the federal funding for the basic Medicaid program to starve it over the years, forcing eligibility and benefit cuts. Their gutting of Medicaid threatens the health care of 74 million Americans – from children to seniors – who rely on Medicaid every day and blows huge holes in state budgets.

Medicaid Matters

Medicaid provides coverage to 74 million people – one in four Americans, including 30 million children. It pays for half the births in the United States, 75% of all family planning services and 50% of long-term care.

The Republican bill will take Medicaid away from 14 million Americans:
The Republican bill ends the expansion of Medicaid to working families, which has led to millions of Americans getting lifesaving health coverage, having a regular doctor or clinic to go to, cutting their out-of-pocket costs and improving their health.

The Republican bill radically changes Medicaid, with deep cuts that will endanger health care for 74 million Americans.

  • The Republican bill is an attack on women’s health care, from family planning and preventive services to the half of pregnant women who rely on Medicaid to pay for their children’s births to the millions of older women who rely on Medicaid to pay for their long-term care.
  • The Republican bill is an attack on long-term care for seniors and people with disabilities. Medicaid now covers more than 60% of nursing home residents across our nation. And Medicaid allows more than 3.2 million seniors and people with disabilities to live with independence in their own homes.
  • The Republican bill’s radical changes and deep, permanent cuts to Medicaid will wreck state budgets and jeopardize the jobs of millions of health care providers. It will force many hospitals and community health centers to cut back services and others to close.
  • The Republican health care bill radically replaces a 50-year partnership between the federal government and states with an artificial cap that will forces states to either end coverage or eliminate health care services for seniors, people with disabilities, children and working families.
  • The Republican bill’s radical changes in Medicaid funding will cripple states faced with health emergencies like the opioid crisis. When there is a health care emergency, it will be up to the states alone to meet the challenge, without a dime of extra help from the federal government.

Talking Points: Tell Congress and the President: Don’t Take Our Health Care by Sabotaging The Affordable Care Act

 

Core message

The Republican health care bill takes health care away from 24 million Americans, slashes Medicaid, sends premiums through the roof, and puts people with pre-existing conditions back at the mercy of the private insurance companies. It promotes barebones coverage, even weakening protections for people who get health insurance through their employers. All to give huge tax breaks to the wealthy and drug and insurance corporations.

“Insurers and State Officials Say Trump is Undermining Obamacare, Pushing UP Rates” Headline in LA Times, May 18, 2017. Read more to find out what they are saying!!

To get their way, Trump and the Republicans in Congress are sabotaging health care for the millions of Americans who rely on the Affordable Care Act by hiking premiums and co-payments and by pushing insurance companies to abandon the system.

Trump and Republicans are Threatening People’s Health Care Today to Sabotage Obamacare:

  • What they are saying: Republicans in Congress can’t defend their awful health care bill. Instead they just keep claiming, in the words of Speaker Paul Ryan, “Obamacare is collapsing.”
  • What they are doing – Higher premiums; fewer choices of insurers. The Trump administration and Republicans in Congress are actively sabotaging Obamacare now, to justify their repeal wrecking ball. They are decreasing the number of people who have coverage and refusing to make promised payments to lower out-of-pocket costs, all of which is leading to insurance companies raising premiums even higher and fewer insurance companies offering coverage.
    • President Trump, HHS Secretary Price and the Republicans want the ACA to fail—that’s why they are no longer implementing pieces of the law like the individual mandate and are pulling back on the marketing that encourages people to enroll in marketplaces.
    • President Trump has repeatedly threatened to stop making payments to insurers called Cost Sharing Reductions that help lower the cost of premiums so that more people can afford to buy coverage in the marketplace. These payments are designed to keep insurers in the marketplaces and make coverage affordable so that customers can buy it.
    • Republicans want to destroy Obamacare anyway they can by repealing the ACA, creating instability and making out-of-pocket costs for coverage too expensive for too many people to afford. Without customers, insurance companies will be forced out of the market and Obamacare will collapse in some places where there’s only one insurer – leaving people with no coverage. Some insurers are already pulling out.
    • Republican sabotage led by President Trump is driving insurers out of the marketplace, not the ACA. Up until this year, a record number of people gained coverage under the ACA, generating millions of new customers for insurance companies. The biggest insurance companies made robust profits as a result– some tripling their profits from 2011 to 2015.

If President Trump and the Republicans really wanted to protect our health care, they would reduce premiums and expand coverage by giving people more options: support provisions in the ACA that make private insurance more affordable and offer Medicaid or Medicare alongside private insurance so everyone has a choice.

Fact Sheet: Trump’s First 100 Days – A Record of Broken Promises on Health Care

 

Tomorrow marks Donald Trump’s first 100 days as President. When it comes to health care, Trump’s first 100 days have been about breaking every single promise he made on his way to the White House.

For starters, Trump said, “We’re going to have insurance for everybody.” But that’s not true. Under the House Republican bill that Trump supports, 52 million Americans will be without insurance in 2026.

Trump also said that, “there will be no cuts to Social Security, Medicare & Medicaid,” but the GOP plan will cut $880 billion from Medicaid alone.

Trump’s counselor Kellyanne Conway said: “We don’t want anyone who currently has insurance to not have insurance.” But the Republican repeal bill would take health care away from 24 million people.

Tom Price, Trump’s Secretary of Health and Human Services, said that “nobody will be worse off financially” after the Republicans in Congress repeal Obamacare. But rates will go up 15-20% in the first two years, and costs will skyrocket for older Americans. For example, a 64-year-old man making $26,500 a year would see his health costs increase nearly $13,000, thanks to a dramatic reduction in the tax credits people will receive to buy coverage in the Obamacare marketplace.

Here’s the good news – Trump and the Republicans in Congress also promised to repeal the ACA back in January. Trump even vowed to repeal the ACA on “day one” of his presidency. But they still haven’t been able to repeal the law because of the public uprising against the Republican plan.

Over the April recess period, for example, Republicans went home to their districts and were overwhelmed by support for Obamacare. Thousands turned out at town halls, the ACA is at its most popular ever, and the Republican bill has the support of only 17 percent of Americans.

They came back this week with the MacArthur amendment, which makes minor changes to the existing proposal and basically makes a bad bill worse. The latest deal would:

  • Allows insurance companies to charge people with pre-existing conditions more for their health coverage. The Trump/GOP proposal guts the protection against health insurers hiking premiums for people with pre-existing conditions.
  • Lets insurers sell barebones insurance that doesn’t cover essential health services and caps coverage. This would allow insurance companies to refuse to cover hospitals, doctors, prescriptions, lab tests, mental health, maternity and newborn care, preventive care, and substance abuse. There’s a reason these are called “essential health benefits” in the existing law. Eliminating essential health benefits also eliminates the prohibition on health insurance companies putting annual or lifetime limits on how much they pay for your care.
  • Cuts coverage while turning over $600 billion in tax breaks to the wealthiest households making over $250,000 a year, and the insurance industry and prescription drug companies.

The Republicans want to go backwards – way backwards – back to the days when we were all at the mercy of the big insurance companies, the days when you could lose your coverage because you got sick, be denied coverage altogether because you had a health care condition, or be forced to pay higher premiums for coverage because you actually needed health care.

The extreme Members of the Freedom Caucus who want total repeal of the ACA and radical changes in Medicaid endorsed the MacArthur Amendment, even though the Republican repeal plan still wrecks Americans’ health care and hurts their own constituents.

That means that in the first 100 days, Trump and the Republicans have done nothing to improve the ACA, make health care more affordable, or protect Medicaid and Medicare. In fact, the only health care they have protected is their own since the MacArthur proposal would exempt Members of Congress from any adverse impacts that their repeal bill would inflict on the rest of us.

 

 

 

 

 

 

 

 

 

 

Fact Sheet: The Republican Health Care Repeal Plan is a Bad Bill Getting Worse

 

The Republican proposal to repeal the ACA and make permanent cuts to Medicaid is so bad it’s already failed to get enough support to even get a vote in the House. In addition to taking coverage from 24 million people by 2026, raising costs for almost everyone, and shifting burdens to state budgets, the proposal:

  • Allows insurance companies to charge people with pre-existing conditions more for their health coverage. The Trump/GOP proposal guts the protection against health insurers hiking premiums for people with pre-existing conditions.
  • Lets insurers sell barebones insurance that doesn’t cover essential health services and caps coverage. This would allow insurance companies to refuse to cover hospitals, doctors, prescriptions, lab tests, mental health, maternity and newborn care, preventive care, and substance abuse. There’s a reason these are called “essential health benefits” in the existing law. Eliminating essential health benefits also eliminates the prohibition on health insurance companies putting annual or lifetime limits on how much they pay for your care.
  • Cuts coverage while turning over $600 billion in tax breaks to the wealthiest households making over $250,000 a year, and the insurance industry and prescription drug companies.

The updated deal called the MacArthur amendment makes minor changes to the existing proposal that basically makes a bad bill worse.

  • The Republicans want to go backwards – way backwards – back to the days when we were all at the mercy of the big insurance companies, the days when you could lose your coverage because you got sick, be denied coverage altogether because you had a health care condition, or be forced to pay higher premiums for coverage because you actually needed health care.
  • The ACA ended the biggest insurance industry abuses, including discrimination based on age, gender and health status. These are the protections that the Trump administration and Republicans in Congress would make optional in this bill.
  • The MacArthur amendment does nothing to lower the cost of premiums, out-of-pocket costs, and prescription drugs for consumers, or to guarantee people with pre-existing conditions affordable coverage, or to stop the $600 billion in tax breaks for the rich and insurance companies in the repeal bill.

The Bill STILL Wrecks Health Care for American Families

Just like the bill that didn’t have enough support to pass in March, the latest GOP proposal would take health care away from 24 million people, slash Medicaid, and raise health care costs for all families in order to give $600 billion in tax cuts to the very wealthy and the big insurance and drug companies. It will blow a hole in state budgets so the wealthiest 400 Americans can get a tax break of $7 million a year. It will allow companies to charge older people five times as much as younger consumers and increase costs for people in their 50s and 60s by thousands of dollars a year.

Fact Sheet: Trump/GOP Pushing Again to Take Away Our Care

Newest Horror – No More Protections for People with Pre-Existing Conditions!

Trump, Pence and Ryan are doing everything they can to bring their plan to destroy our health care. In order to win the votes of the extreme right they are now planning to allow insurance companies to charge whatever they want to people with pre-existing conditions and to sell junk health insurance.

As the New York Times health insurance analyst wrote: “…the proposed changes would effectively cast the Affordable Care Act’s pre-existing conditions provision aside.”

HERE’S WHAT WE KNOW ABOUT THE LATEST REPUBLICAN PLAN:

Allows insurance corporations to charge people with pre-existing conditions whatever the want. The Trump/GOP proposal guts the protection against health insurers hiking premiums for people with pre-existing conditions.

Barebones insurance that doesn’t require any coverage. Allows insurers to not cover hospitals, doctors, prescriptions, lab tests, mental health, maternity and newborn care, preventive care, and substance abuse. There’s a reason these are called essential health benefits.

Allows insurance companies to cap how much they pay for your care. Eliminating essential health benefits also eliminates the prohibition on health insurance companies putting annual or lifetime limits on how much they pay for your care.

Higher Premiums for People Who Actually Need Health Care: Health insurance companies will sell barebones plans which leave off basic coverage at a low price and hike the prices of coverage that covers care people actually need, with the biggest hikes for people who have had any medical care.

AND IT STILL TAKES HEALTH COVERAGE AWAY FROM 24 MILLION PEOPLE, HIKES INSURANCE PREMIUMS, HITS PEOPLE IN THEIR 50s and 60s the HARDEST AND SLASHES MEDICAID BY $880 BILLION.

TELL YOUR MEMBER OF CONGRESS TO PROTECT OUR CARE.

 

Talking Points on ACA Cost-Sharing Payments

It’s Not Over! Trump can still take health care away
from millions in one easy step

He can be the one to cause Obamacare to “explode” by wrecking consumer protections against high out-of-pocket costs.

If Trump does not defend a lawsuit filed by Republicans in Congress against the Affordable Care Act, insurance premiums will skyrocket and many more health insurance companies will flee, taking health care away from millions of working families.

The Story

The Affordable Care Act pays health insurance companies to keep out-of-pocket costs low for millions of working families. But Republicans in Congress filed a lawsuit to stop the Obama administration from making those payments to insurance companies. The lawsuit is now stuck in court – waiting for the Trump administration to act.

If the Trump administration decides not to fight the lawsuit, those payments will stop and insurance companies will send premiums through the roof and stop selling health insurance all together.

President Trump tweeted “Obamacare will explode.” We need to stop him from pulling the trigger by doing nothing. Instead we need Trump to defend the payments.

Congress must act too!

Congress should approve keeping the payments that lower deductibles and co-payments for working families. At the same time, Members of Congress should urge Trump to defend the payments in court so people can keep their care.

We stopped Congress from repealing and replacing Obamacare because that would take health care away from millions of Americans. We must keep the pressure on Congress to keep consumer protections against high-out-of-pocket costs.

6 million Americans pay lower out-of-pocket costs under the ACA

State #
United States 6,353,551
Alabama 125,424
Alaska 7,500
Arizona 94,463
Arkansas 36,134
California 707,671
Colorado 28,929
Connecticut 52,132
Delaware 11,146
District of Columbia 279
Florida 1,125,850
Georgia 322,348
Hawaii 8,067
Idaho 58,781
Illinois 156,469
Indiana 77,251
Iowa 25,677
Kansas 53,034
Kentucky 32,186
Louisiana 118,597
Maine 42,880
Maryland 72,175
Massachusetts 132,721
Michigan 164,725
Minnesota 12,128
Mississippi 60,354
Missouri 148,033
Montana 23,479
Nebraska 41,950
Nevada 48,736
New Hampshire 17,376
New Jersey 129,277
New Mexico 22,655
New York 40,544
North Carolina 360,045
North Dakota 9,199
Ohio 95,312
Oklahoma 81,053
Oregon 52,960
Pennsylvania 227,304
Rhode Island 21,270
South Carolina 150,030
South Dakota 15,108
Tennessee 138,272
Texas 646,415
Utah 106,589
Vermont 9,751
Virginia 222,233
Washington 66,083
West Virginia 17,414
Wisconsin 123,307
Wyoming 12,235

Talking Points on the Republican Bill to Gut the ACA and Slash Medicaid

One sentence

The Republican bill to gut the Affordable Care Act and slash Medicaid takes health coverage away from millions of Americans – from seniors to children – will force people to pay much, much more for, high-deductible insurance and blows a huge hole in state budgets, while giving massive tax cuts to the very wealthy and drug and insurance corporations. And it defunds Planned Parenthood.

Key Points

  • The Republican bill guts the Affordable Care Act and slashes Medicaid.
  • The Republican bill takes coverage away from millions of Americans by drastically cutting tax credits to buy coverage and by making enormous cuts in state funding for Medicaid.
  • The Republican bill will hike the cost of health insurance for millions of Americans, with the biggest increases for seniors and moderate-income working people.
  • The Republican bill hike premiums by 30% for people with pre-existing conditions if for any reason – such as losing a job – they don’t have coverage for 63 days.
  • The Republican bill pushes people into high-deductible insurance plans and ends the ACA program that limits out-of-pocket costs to many working families.
  • The Republican bill ends Medicaid expansion and slashes state funding for the regular Medicaid program by radically changing the way Medicaid is funded. States will be forced to end coverage and eliminate health care services for seniors, people with disabilities, children and working families.
  • The Republican bill gives huge tax cuts to the wealthiest Americans and to drug, insurance and medical-device companies – it even has a special tax break for health insurance CEOs.
  • The Republican plan defunds Planned Parenthood.

Key Provisions

  • Ends the ACA’s tax credits, which were based on income, starting in 2020 and replaces them with tax credits that only go up with age.
    • Tax credits are reduced to $2,000 for people under 30 to $4,000 for people over 60.
    • Phases out the tax credits for incomes above $75,000.
    • Tax credits are not adjusted by local cost of living.
    • At the same time, allows insurance companies to charge seniors up to 5 times as much as young people – current law is 3 times.
  • Bottom line: most people will get much lower tax credits and so have to pay more themselves for coverage – with moderate-income families, older people, and people who live in high medical cost areas seeing the biggest increases.
  • Immediately eliminates the ACA’s requirement that individuals have insurance coverage and that employers with more than 50 employees pay for coverage.
    • Ending the individual mandate, combined with keeping coverage for pre-existing conditions and lowering tax credits, will start an insurance market death spiral. People who are the sickest will scrape to find a way to buy coverage while others drop out, leading to higher premiums and more people dropping out.
  • Ends Medicaid expansion and cuts coverage for children and adults in Medicaid.
    • Ends Medicaid expansion beginning in 2020, with some transition for people already enrolled.
    • Only requires states to cover children in Medicaid who are under the poverty level, reducing the requirement from 133% of the poverty level.
    • Ends federal funding for adults in Medicaid who are over 133% of poverty.
  • Replaces Medicaid’s funding of actual health spending by capping at a cost per-person, starting in October 2019.
    • Instead of states getting a fixed percentage of payments from the federal government (which varies by state), the federal government would cap the amount that it pays per person at the medical CPI.
    • Capping Medicaid will result in hundreds of billions of dollars in cuts to states.
    • In a public health crisis – the opioid crisis, Zika, etc. – the federal government will not increase funding for state Medicaid programs.
  • Pushes people into high-deductible health plans, through several provisions.
    • Allows insurance companies to sell catastrophic plans, ending the requirement that plans cover a set percentage of medical costs – the ACA’s platinum, gold, silver and bronze plans.
    • Ends the ACA’s plan that limits out of pocket costs for people with moderate incomes.
    • Increases tax benefits of health savings accounts, which are usually high deductible plans that only work if you are rich enough to save money out of your paycheck.
  • Hikes health care costs for people with pre-existing conditions.
    • Insurance companies must charge anyone who has not been insured for 63 days a 30% surcharge on their premiums.
    • Sets up a “Patient and state stability fund,” which can fund state high-risk pools, for people who need costly medical care. The 35-year history of states attempting high-risk pools resulted in high-premiums, high-deductibles and long-waiting lists.
  • Huge tax breaks – $525 billion over 10 years – for the wealthy and for drug, insurance and medical device corporations.
    • Ends the ACA’s taxes on unearned income for people with high incomes. The top 0.1% of households—those with income of at least $3.7 milliona year—would receive a tax cut of about $197,000 in 2017, on average.
    • Ends the ACA’s taxes on insurance, drug and medical device corporations.
    • Even ends an ACA provision that limited insurance companies from writing off high executive salaries.
  • Defunds Planned Parenthood.

The Republican Plan to Slash Medicaid and Wreck State Budgets

Topline Message

Already worried about your family’s health care? Now President Trump and Republicans in Congress say they will slash $1 trillion to states for Medicaid, robbing health security for 74 million American working families, children, seniors and people with disabilities. They want to pass the buck to states to throw seniors out of nursing homes, take health care away from working families and jeopardize the lives of Americans with disabilities. Their plan will wreck state budgets, and take away the jobs of millions of Americans who care for our families in hospitals, health centers, doctors’ offices and in our homes.

Talking Points

  • If Trump and the Republicans slash Medicaid funding for states, millions of seniors will be thrown out of nursing homes, American families will be slammed with crushing health care costs for their parents, children and people with disabilities will go without needed care. Huge costs will be shifted to state governments and millions of health care providers will lose their jobs.
  • Capping Medicaid will cut federal funding to states for Medicaid by $1 trillion, so that states will either have to raise taxes, cut school funding or cut Medicaid coverage for the children, working families, seniors and people with disabilities who rely on Medicaid for their health care.
  • There is only one reason that Trump and the Republicans want to make what the New York Times called a “radical change” in Medicaid – to slash federal funding for health care. For 50 years, our federal government has guaranteed that it will pay for Americans in each state who need care at the cost of providing that care. Under the Republican plan, the federal government would provide a fixed amount that doesn’t keep up with rising costs. Bottom line: families and state governments would be forced to pay more and lose life-saving health care.

Governors respond to the claim that the Republican plan will increase state “flexibility.”

  • Republican Massachusetts Governor Charlie Baker: “We are very concerned that a shift to block grants or per capita caps for Medicaid would remove flexibility from states as the result of reduced federal funding.”
  • Democratic Louisiana Governor John Bel Edwards: “… flexibility would really mean flexibility to cut critical services for our most vulnerable populations, including poor children, people with disabilities and seniors in need of nursing home and home-based care.”

Key Facts

  • 74 million Americans rely on Medicaid each year including 33 million children. (Link includes data for each state)
  • Half (46%) of Medicaid spending is on long-term care for seniors and people with disabilities.
  • Republicans propose a total of $2 trillion in cuts to Medicaid over the next decade: $1 trillion through block grants and $ trillion through repeal of the ACA.
  • Medicaid provides essential care for women throughout their lives—from family planning and maternal health services to nursing home care. Medicaid finances nearly half of all births in the U.S., accounts for 75% of all publicly-funded family planning services, and accounts for half (51%) of all long-term care spending, which is critical for many frail elderly women.
  • Medicaid is there for all Americans. Of people who rely on Medicaid: 41% are White, 25% are Latino and 22% are African American. (Link includes data for each state).
  • Small businesses rely on Medicaid to provide health coverage to 6.1 million small business owners and employees[1]. ()
  • There are two ways that Republicans propose to radically change Medicaid:
    • Medicaid “block grants” provide a fixed amount of money to each state, which does not increase when more people need Medicaid and does not depend on how much each state health care costs go up.
    • Medicaid “per-capita” cap would give states a fixed amount of money for each person enrolled in Medicaid that would not increase based on how much each state’s cost of providing health care goes up.

[1] Based on U.S. Census Bureau’s 2016 Current Population Survey with small businesses defined as those with fewer than 50 employees.