That’s a decrease of over $770 billion on Medicaid over the next 10 years. (We broke down that decrease earlier on Monday, if you’re curious.) By 2026, the federal government would cut 1 of every 4 dollars it spends on Medicaid.
How significant is this? Overall, the CBO estimates that the Senate bill will result in fewer people being uninsured by 2026 than the House health care bill (titled “The American Health Care Act”). Measured against the baseline number of uninsured that would be expected under the Affordable Care Act, the Senate bill would see 22 million more people uninsured, compared with the House’s 23 million.
But looking just at the expected decreases in Medicaid coverage, the Senate bill is actually worse over the long run. The reduction in the number of people with Medicaid coverage is slower out of the gates, but, by 2026, fewer people will have Medicaid coverage under the Senate plan than under the House plan.
In 10 years, 14 million fewer people would have Medicaid coverage if the House bill were enacted. If the Senate bill were enacted, that number would be 15 million. The number of people who lose coverage from their employers would be lower under the Senate bill, which reinforces the core trade-off being made: Shifting the negative effects from wealthier Americans to less wealthy ones.