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Research Update: Estimates of State Impact of Medicaid Cuts

As we have written about extensively on Say Ahhh!, Medicaid is facing large cuts in the budget reconciliation process with hundreds of billions of dollars on the chopping block. It’s unclear how policymakers will meet the hundreds of billions in cuts assigned to programs under the jurisdiction of the House Energy and Commerce Committee but it is clear that Medicaid will face substantial cuts. Medicaid researchers have been busy estimating the economic and coverage impacts of various proposals. CCF has compiled these estimates in a new resource that allows for comparison of state level impacts of key policy changes under consideration.

Researchers have examined the impact of imposing per capita caps, reducing the Medicaid expansion federal medical assistance percentage (FMAP), implementing mandatory work reporting requirements, limiting provider taxes that help states fund their share of Medicaid, and more. The analyses cover the impact on areas such as Medicaid enrollment, state budgets, jobs, gross domestic product (GDP), and, captured in a small number of reports, lives lost. Each research group has looked at different combinations of proposals and have taken varied methodological approaches, meaning that the estimated impacts on states are similar but not consistent across reports.

Projected state-level impacts of various policy changes under consideration currently includes estimates from the following reports:

As new analyses are released, CCF will update the tracker with the latest estimates.