CHA News Article

Report Examines Medicaid Program, Lessons Learned

A new report from the Kaiser Family Foundation (KFF) analyzes recent congressional debate over the future of Medicaid, establishing lessons learned and outlining what to watch for as Congress returns to session. According to KFF, more than half of states have a strong stake in continuing the Affordable Care Act’s Medicaid expansion, which has provided coverage to millions of low-income residents and has broad support – particularly among the special populations that rely on the program.

Additionally, the report notes that financing caps through a block grant or per capita cap may not be a good deal for many states. Although most states favor enhanced flexibility, uncertain future health care costs and needs as well as variation across states make it difficult to implement a pre-set growth rate for Medicaid under a capped financing structure. Looking to the future, KFF anticipates further activity related to health care legislation, administrative actions and other initiatives, all of which might significantly impact the Medicaid program.