NATIONAL ACTIVITY AND ANALYSIS 

Senate Republicans Release Their ACA Replacement Bill

Senate Republicans introduced a “discussion draft” of their ACA repeal and replace bill, the “Better Care Reconciliation Act” (BCRA), which maintains authority for the ACA Medicaid expansion but eliminates enhanced federal funding over a three-year period beginning in 2021. Read more

CBO Estimates 22 Million Would Lose Coverage Under BCRA

CBO estimates that BCRA would increase the number of uninsured by 22 million by 2026, compared to current law; CBO previously estimated that 23 million would be uninsured in 2026 under the House-passed AHCA. Read more

Medicaid Work Requirement Proposals Would Be Costly to States

Work requirements for Medicaid eligibility, like those proposed for expansion adults in nine states, would be costly for states to implement and could increase enrollment denials and coverage interruptions, according to a blog post published by The Commonwealth Fund. Read more

Medicaid Funding Cuts and Expansion Phase-Out Would Disproportionately Impact Rural Areas

The AHCA’s Medicaid funding cuts and phase-out of Medicaid expansion would disproportionately impact individuals living in rural areas and small towns, according to a report from Georgetown University and the University of North Carolina. Read more

Changing Caseload Mix Reduced Average Per Enrollee Medicaid Spending in Expansion States

Per enrollee Medicaid spending decreased by approximately 5.1% in expansion states from 2013 to 2014, as enrollment of lower-cost expansion adults increased relative to more costly aged, blind and disabled enrollees; per enrollee spending increased by 5.1% in non-expansion states, according to an analysis of CMS’s latest National Health Expenditures Data. Read more

ACA Improved Affordability, Access and Self-Reported Health

The ACA’s coverage expansions, including the expansion of Medicaid, reduced out-of-pocket medical spending, increased access to preventive services, improved adherence to prescription drugs, increased rates of treatment for chronic conditions, and improved self-reported health, according to a literature review published in the New England Journal of Medicine. Read more

STATE NEWS

Colorado: $15 Billion in Federal Funding Would Be Eliminated Under Senate Bill

The rollback of funding for Medicaid expansion would lead to 628,000 fewer Medicaid enrollees in Colorado by 2030, according to the Colorado Health Institute’s (CHI) early analysis of the Senate’s healthcare bill. Read more

Ohio: State Senate Aims to Halt Medicaid Expansion Enrollment

The State budget passed by the Senate extends Medicaid expansion for one year but freezes expansion enrollment beginning July 1, 2018 and prohibits current expansion enrollees from re-enrolling if they leave the program. Read more