The latest Republican-led effort to overhaul the Affordable Care Act could lead to spending cuts for state education funding from Kindergarten through college, Fitch Ratings said in a new report.
The bill introduced last week by Sens. Lindsay Graham (R-South Carolina), Bill Cassidy (R-Louisiana), Dean Heller (R-Nevada) and Ron Johnson (R-Wisconsin) would keep a lot of the ACA’s regulations intact though it would eliminate the individual and employer mandate and shift insurance subsidies and Medicaid funding for coverage of poor Americans to block grants controlled by states.
In restructuring Medicaid to a “per-capita cap funding mechanism,” the new Senate legislation would replace Medicaid’s existing open-ended entitlement structure paid for via a match of funds between the states and federal government. If a particular state Medicaid program is faced with a large number of people in need of expensive medicines or treatments, more federal dollars flow to the state. States also see an uptick in Medicaid patients when companies lay off workers.