Medicaid mucks up the megabill (1 Viewer)

[Greenbeard]

The GOP is continuing to find it difficult to find palatable ways to massively slash Medicaid funding, despite that being central to their tax cut package.

Medicaid mucks up the megabill

Republicans are hitting a major roadblock in drafting their “big, beautiful” megabill: Divisions over how deeply to cut Medicaid are threatening to upend the timeline for advancing President Donald Trump’s tax agenda.

One of their thorniest issues is how to address states that expanded Medicaid access under the Affordable Care Act. Republicans are considering capping or reducing federal Medicaid payments to those states for the program — which would make the program more sustainable, Republicans argue, but could lead to millions of people losing coverage.

Behind closed doors, some Republicans are irked that their leaders are not doing enough explaining: One Republican with direct knowledge of the matter told POLITICO “there’s frustration for not laying out the rationale behind Medicaid cuts.”

The Medicaid debate could set off delays elsewhere. While Ways and Means has made some progress on tax issues, plenty remains in limbo as members wait for other committees to determine how deeply they can cut spending in their panels’ jurisdiction.

 

[noonereal]

Why don't they just cut the tax cuts?

 

[watsup]

The GOP is continuing to find it difficult to find palatable ways to massively slash Medicaid funding, despite that being central to their tax cut package.

Medicaid mucks up the megabill

Less for the poor. More for the wealthy. Is this really what the voters wanted?

 

[Callen]

Roll8ng back Medicaid expansion will not play well.

 

[Greenbeard]

Roll8ng back Medicaid expansion will not play well.

At least a dozen states have trigger laws in place that terminate Medicaid expansion if the feds scale back their financial commitment. Dangerous stuff to play around with.

 

[Lisa]

Less for the poor. More for the wealthy. Is this really what the voters wanted?

The poor are supposed to be entertained by the hate, racism, and social wars. They arent supposed to notice the tax cuts, deregulation, grifting, and failed economic policies.

 

[LouC]

Less for the poor. More for the wealthy. Is this really what the voters wanted?

Enough of the Electorate did want exactly that, enough in order to get KING MAGAT voted into office.

There was nothing hidden in his campaign about his intent to have the MAGAT Party formerly known as the Republican Party do these evil deeds once they attained power.

 

[Isidore]

"The word Medicaid is not even in this bill. This bill doesn’t even mention the word Medicaid a single time." – Steve Scalise, February 25th​

I'm surprised Republicans aren't still trying to pretend they don't intend to cut Medicaid.

 

[gbg3]

It might be worth this group looking into all the problems Medicaid expansion has created.

It's overloaded the system such that original (worthy) Medicaid patients can't get the appts and services they used to get in a timely manner. It has increased ER visits as a result of this.

Hospitals which used to have surpluses are now in debt because of all the people who came off of private insurance (which paid more to the hospital) and moved to Medicaid. It's provided an easier avenue for working aged men and women (without young children or elderly at home requiring caretaking) to simply choose not to work at all.

The federal government provides a higher (90%) match rate for the Medicaid expansion group than it provides for the traditional Medicaid group. Due to this, it's a form of a financial scam where it financially benefits those participating states to get their people off of employer insurance and onto Medicaid - capable working age people.

This expansion program has absolutely NOT been helpful or beneficial to the people Medicaid was originally designed to serve. It has been harmful to that group.

 

[Napoleon]

Politicians debate and negotiate. News at 11.

 

[ttwtt78640]

It might be worth this group looking into all the problems Medicaid expansion has created.

It's overloaded the system such that original (worthy) Medicaid patients can't get the appts and services they used to get in a timely manner. It has increased ER visits as a result of this.

Hospitals which used to have surpluses are now in debt because of all the people who came off of private insurance (which paid more to the hospital) and moved to Medicaid. It's provided an easier avenue for working aged men and women (without young children or elderly at home requiring caretaking) to simply choose not to work at all.

The federal government provides a higher (90%) match rate for the Medicaid expansion group than it provides for the traditional Medicaid group. Due to this, it's a form of a financial scam where it financially benefits those participating states to get their people off of employer insurance and onto Medicaid - capable working age people.

This expansion program has absolutely NOT been helpful or beneficial to the people Medicaid was originally designed to serve. It has been harmful to that group.

Yep, unlike (normal) Medicaid, Expanded Medicaid lacks asset limits and has a higher federal funding ‘match’.

 

[Callen]

It might be worth this group looking into all the problems Medicaid expansion has created.

It's overloaded the system such that original (worthy) Medicaid patients can't get the appts and services they used to get in a timely manner. It has increased ER visits as a result of this.

Hospitals which used to have surpluses are now in debt because of all the people who came off of private insurance (which paid more to the hospital) and moved to Medicaid. It's provided an easier avenue for working aged men and women (without young children or elderly at home requiring caretaking) to simply choose not to work at all.

The federal government provides a higher (90%) match rate for the Medicaid expansion group than it provides for the traditional Medicaid group. Due to this, it's a form of a financial scam where it financially benefits those participating states to get their people off of employer insurance and onto Medicaid - capable working age people.

This expansion program has absolutely NOT been helpful or beneficial to the people Medicaid was originally designed to serve. It has been harmful to that group.

All that may be true but I think cutting Medicaid expansion will seriously jeopardize the " big beautiful bill ". As it is the economic situation, unless Trump course corrects, will put many GOP Congress representatives in a difficult place. If they are in swing districts or districts Harris won they are going to be very vulnerable. On the other hand , if the cuts aren't significant the hardliners will be a problem. I think getting this bill through is going to be a tough slog.

 

[Greenbeard]

It's overloaded the system such that original (worthy) Medicaid patients can't get the appts and services they used to get in a timely manner.

This is a completely made up claim. (It’s also inconsistent with your subsequent claim that Medicaid expansion is just shifting people from employer-based coverage.)

Hospitals which used to have surpluses are now in debt because of all the people who came off of private insurance (which paid more to the hospital) and moved to Medicaid.

This is a demonstrably false claim.

What Does the Recent Literature Say About Medicaid Expansion?: Economic Impacts on Providers | KFF

This issue brief updates prior KFF literature reviews by summarizing 24 studies published between April 2021 and December 2022 on the economic impact of Medicaid expansion on providers.

www.kff.org

It's provided an easier avenue for working aged men and women (without young children or elderly at home requiring caretaking) to simply choose not to work at all.

Similarly false.

Understanding the Intersection of Medicaid and Work: An Update | KFF

Amid renewed interest in Medicaid work requirements as part of a broader legislative package designed to significantly reduce federal Medicaid spending, KFF has updated its analysis of the work status and demographic characteristics of Medicaid enrollees with the latest data. Data show that, in...

www.kff.org

The federal government provides a higher (90%) match rate for the Medicaid expansion group than it provides for the traditional Medicaid group. Due to this, it's a form of a financial scam where it financially benefits those participating states to get their people off of employer insurance and onto Medicaid - capable working age people.

It doesn’t financially benefit a state to shift residents from employer-based insurance coverage to Medicaid, this claim makes no sense.

This expansion program has absolutely NOT been helpful or beneficial to the people Medicaid was originally designed to serve. It has been harmful to that group.

Again, a completely made-up claim, made solely to justify stripping millions of poor Americans of insurance coverage.

 

[BirdinHand]

The federal government provides a higher (90%) match rate for the Medicaid expansion group than it provides for the traditional Medicaid group. Due to this, it's a form of a financial scam where it financially benefits those participating states to get their people off of employer insurance and onto Medicaid - capable working age people

Many people who are on Medicaid DO work.

Eligibility is based off income levels - and lots of the working poor and/or the children of the working poor qualify for Medicaid and expanded Medicaid coverage.

You’re literally talking about making healthcare inaccessible to millions of people and children.


Which MAGA is fine with

 

[Greenbeard]

The House GOP seems to be drifting increasingly toward concentrating on the ACA Medicaid expansion as it revs up the Medicaid buzzsaw. So far, the "moderates" are still pretending to be uncomfortable with massive cuts.

Guthrie to meet with Medicaid-wary Republicans

GOP moderates concerned about Medicaid cuts will meet with House Energy and Commerce Chair Brett Guthrie (R-Ky.) this week as the panel struggles to come up with potentially hundreds of billions of dollars in cuts to the popular program.

Rep. Jeff Van Drew (R-N.J.) told us this will be his fourth conversation with Guthrie, who has been talking to concerned members individually for weeks. Van Drew was among a dozen Republicans who warned House GOP leaders that they wouldn’t vote for a final reconciliation package with deep Medicaid cuts.

“We’re going to hold their feet to the fire to make sure there isn’t a lasting change,” Van Drew told us. “Attitude is what matters most here. We’re not just going to roll.”

Reps. Young Kim (R-Calif.) and Nicole Malliotakis (R-N.Y.) also plan to meet with Guthrie.

The increased pressure from moderates comes as Energy and Commerce inches closer to its May 7 markup. Committee Republicans met Monday to discuss what policies to include. Members made progress on narrowing down options, but their biggest challenge is winning over both moderates and hardliners.

Rep. Don Bacon (R-Neb.) now says he’ll only support up to $500 billion in Medicaid cuts, as Politico reported. Other centrists have hinted about their own red lines. Energy and Commerce must find $880 billion in spending cuts, most of which will likely have to come from Medicaid.

This guy remembers the last big ACA repeal vote in 2017 (and the resulting blue tsunami in 2018): ‘It’s a dangerous situation’: GOP rep. with most Medicaid constituents sends a warning.

Seems nervous about a redux.

 

[BirdinHand]

The House GOP seems to be drifting increasingly toward concentrating on the ACA Medicaid expansion as it revs up the Medicaid buzzsaw. So far, the "moderates" are still pretending to be uncomfortable with massive cuts.

Guthrie to meet with Medicaid-wary Republicans


This guy remembers the last big ACA repeal vote in 2017 (and the resulting blue tsunami in 2018): ‘It’s a dangerous situation’: GOP rep. with most Medicaid constituents sends a warning.

Seems nervous about a redux.

Van Drew would walk directly into a buzz saw if he votes to cut Medicaid.

16% of HIS constituents in the state of NJ receive some form of Medicaid.

 

[LouC]

This is a completely made up claim. (It’s also inconsistent with your subsequent claim that Medicaid expansion is just shifting people from employer-based coverage.)



This is a demonstrably false claim.

What Does the Recent Literature Say About Medicaid Expansion?: Economic Impacts on Providers | KFF

This issue brief updates prior KFF literature reviews by summarizing 24 studies published between April 2021 and December 2022 on the economic impact of Medicaid expansion on providers.

www.kff.org

Similarly false.

Understanding the Intersection of Medicaid and Work: An Update | KFF

Amid renewed interest in Medicaid work requirements as part of a broader legislative package designed to significantly reduce federal Medicaid spending, KFF has updated its analysis of the work status and demographic characteristics of Medicaid enrollees with the latest data. Data show that, in...

www.kff.org

It doesn’t financially benefit a state to shift residents from employer-based insurance coverage to Medicaid, this claim makes no sense.



Again, a completely made-up claim, made solely to justify stripping millions of poor Americans of insurance coverage.

What part of "Don't Feed MAGATS et al facts, it just irritates them to no end!" don't you understand?

 

[Greenbeard]

What part of "Don't Feed MAGATS et al facts, it just irritates them to no end!" don't you understand?

I suspect we're going to be hearing this totally made-up "Medicaid expansion actually hurts traditional Medicaid populations" a lot now that the GOP is gearing up again to try and eviscerate Medicaid expansion. The hive has gotten its instructions.

 

[ttwtt78640]

I suspect we're going to be hearing this totally made-up "Medicaid expansion actually hurts traditional Medicaid populations" a lot now that the GOP is gearing up again to try and eviscerate Medicaid expansion. The hive has gotten its instructions.

Why does it make sense to federally subsidize Medicaid for the not so poor more than for the very poor?

 

[Greenbeard]

Why does it make sense to federally subsidize Medicaid for the not so poor more than for the very poor?

That was done to incentivize states to expand their programs, which the vast majority have.

That said, the expansion population in general isn’t necessarily “not so poor” relative to traditional Medicaid populations, it’s just the collection of people who were not previously eligible. In Texas, which obviously isn’t an expansion state, a single parent with a child becomes ineligible for Medicaid if their monthly income exceeds $196.

 

[ttwtt78640]

That was done to incentivize states to expand their programs, which the vast majority have.

That said, the expansion population in general isn’t necessarily “not so poor” relative to traditional Medicaid populations, it’s just the collection of people who were not previously eligible. In Texas, which obviously isn’t an expansion state, a single parent with a child becomes ineligible for Medicaid if their monthly income exceeds $196.

That seems to conflict with the flowing link:

Medicaid eligibility and enrollment in Texas

Learn who’s eligible to enroll in Texas' Medicaid program, how to apply, the status of Medicaid expansion and the effects of Medicaid disenrollment.

www.healthinsurance.org

 

[Greenbeard]

That seems to conflict with the flowing link:

Medicaid eligibility and enrollment in Texas

Learn who’s eligible to enroll in Texas' Medicaid program, how to apply, the status of Medicaid expansion and the effects of Medicaid disenrollment.

www.healthinsurance.org

What do you mean? 12% of the poverty threshold is a very low eligibility cutoff!

 

[ttwtt78640]

What do you mean? 12% of the poverty threshold is a very low eligibility cutoff!

You seem to be confusing eligible and ineligible.

Children’s Medicaid and CHIP | Texas Health and Human Services

Children's Medicaid is a health care program for children in low-income families. CHIP is a health care program for children whose families earn too much to get Medicaid but cannot afford health insurance.

www.hhs.texas.gov

 

[Greenbeard]

You seem to be confusing eligible and ineligible.

Children’s Medicaid and CHIP | Texas Health and Human Services

Children's Medicaid is a health care program for children in low-income families. CHIP is a health care program for children whose families earn too much to get Medicaid but cannot afford health insurance.

www.hhs.texas.gov

You’re confusing children with parents.