The American Health Care Act (AHCA),
passed by the U.S. House of Representatives on May 4, 2017, will
profoundly change Kansas’ Medicaid program, KanCare. The bill is
currently under fast track consideration in the U.S. Senate.
For more than 50 years, Medicaid has
been a health coverage safety net to the most vulnerable Americans –
mostly low-income children, seniors, and individuals with disabilities.
Costs are shared by the federal government and the state government and
are based on the needs of patients. Three-quarters of KanCare enrollees
are children and families and 70 percent of the program’s dollars are
spent on care of seniors and Kansans with disabilities.
The AHCA threatens to change that. It
would impose caps on federal spending, shifting the risk for covering
growing costs to the state. The federal contribution would increase less
each year than the actual cost of care, squeezing the state budget more
and more over time. The state will lose the ability to respond
aggressively to health crises, cover new breakthrough drugs, and meet
other needs that require flexibility and funding.
Nationwide, the AHCA will reduce
expected federal spending on Medicaid by $830 billion over the next
decade. At least $1 billion of this cut – or about $100 million per
year – will come from Kansas. The state will then face an inevitable
choice – raise taxes or shift dollars from other programs to make up the
difference. Or most likely, cut eligibility and benefits.
That means fewer kids with health
coverage. Pregnant women who can’t get prenatal care. Less funding for
seniors in nursing homes. And cuts in services to Kansans with
disabilities. Because Medicaid covers the most vulnerable Kansans with
the greatest needs, they are the ones who will be hurt when the state is
forced to make do with less. In turn, there will be increased pressure
on local communities and health care providers to fill in the gaps.
These Medicaid cuts won’t save much
money. Instead, they’ll be used to deliver tax cuts to the wealthiest
Americans. Tax cuts funded on the backs of low-income children and
others who rely on Medicaid.
The AHCA will harm KanCare and the
Kansans who rely on it in other ways, as well. It will create
bureaucratic barriers to enrollment and coverage. It will lock in the
state’s relatively low program financing. And it specifically prohibits
the state of Kansas from expanding KanCare, ensuring that Kansas
taxpayers will continue to pay the tab for expansions in 31 other states
without being able to bring our federal tax dollars back home.
The AHCA is being rushed through the
Senate with no plans to hold hearings or gather testimony and public
input. Kansans and all Americans deserve better.
This blog entry was originally posted by the Health Care Foundation of Greater Kansas City: https://hcfgkc.org/kansans-deserve-better-ahca-offers/
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