Friday Five - May 26, 2017
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It’s Friday and this week in our Friday Five series, MAXIMUS is tracking the Congressional Budget Office’s latest score on the GOP health care plan; following the Republican governor coalition that’s seeking to shape a replacement for the Affordable Care Act; and examining a possible path for introducing work requirements for people who receive federal housing subsidies.
The Congressional Budget Office (CBO) released its latest score on the American Health Care Act (AHCA) on May 24, saying the bill would leave 23 million more people uninsured in 2026 and reduce by deficit by $119 billion over ten years. Much of the reductions are cuts to Medicaid – roughly $834 million that would leave 14 million uninsured – and the bill would give states the option to receive Medicaid funding via block grants or a per capita amount. NPR explores the CBO score and what’s next for the bill in the Senate.
Led by Ohio Governor John Kasich, a group of about a dozen Republican governors is pushing for its own set of national health care reforms. The governors are using a nine-page proposal they crafted in February as the platform to shape what they think a critical portion of an Obamacare replacement law should look like. Reuters details the group's recommendations for the Senate that include maintaining the expansion of Medicaid while limiting federal spending for certain populations.
President Trump’s budget, released on May 23, proposes $6.2 billion in cuts to the Department of Housing and Urban Development (HUD). It also leaves a wide opening for introducing work requirements for people who receive federal housing subsidies. The Washington Post describes other HUD budget adjustments and how the agency plans to present more changes by 2019 that include “a path for work-able families to move toward self-sufficiency.”
Medicaid accounts for $1 out of every $6 spent on health care in the US, but there are major differences in spending on a state-by-state level. For example, managed care and health plans make up 46 percent of Medicaid spending, and the states spending most on those programs are California, New York and Texas. STAT News breaks down Medicaid spending and what President Trump’s proposed budget cuts would do to those dollars.
In January, Republicans said they would deliver a “repeal and replace” bill for the Affordable Care Act to President Donald Trump’s desk by the end of the month. But with summer just around the corner, the health overhaul delays are starting to back up the rest of the 2018 agenda. Kaiser Health News outlines health care’s legislative future and why, according to the National Association of Medicaid Directors, “certainty and predictability [are] important.”