Understanding Medicaid Block Grants and Other Federal Proposals

The new administration in Washington and some members of Congress have proposed drastic changes to the Medicaid program.  Advocates and others believe that Medicaid block grants, per-capita caps, and new cost-sharing measures would be devastating to state Medicaid programs, Medicaid consumers, and the safety-net providers that serve them.  Here are some resources and educational materials that help shed light on these proposals:

February 2017:

How Restructuring Medicaid Could Affect Children (Georgetown Center on Children and Families, issue brief; Feb 2017)

Selling Health Insurance Across State Lines Lessons for States and Questions for Policymakers (National Academy for State Health Policy; Feb, 2017)

State-by-State Toolkit Highlights Challenges in Capping Medicaid Funding (Manatt; Feb, 2017)

Medicaid Financing: Dangers of Block Grants and Per Capita Caps Lessons from TANF and CCDBG (CLASP; February 2017)

January 2017: 

Current Flexibility in Medicaid: An Overview of Federal Standards and State Options – Executive Summary (Kaiser Family Foundation; Jan. 2017)

Everything You Need To Know About Block Grants — The Heart Of GOP’s Medicaid Plans (Kaiser Health News; Jan. 2017)

How Would Repealing the Affordable Care Act Affect Health Care and Jobs in NY? (Economic Policy Institute; Jan 2017)

December 2016:

Five Key Medicaid Questions Post-Election (Kaiser Family Foundation fact sheet; Nov. 2016)

Medicaid Block Grant Would Slash Federal Funding, Shift Costs to States, and Leave Millions More Uninsured (Center on Budget and Policy Priorities blog post; Nov. 2016)

Top Five Threats to Children and Families Posed by a Medicaid Block Grant (Georgetown Center for Children and Families blog post; Nov. 2016)

What Would Block Grants or Limits on Per-Capita Spending Mean for Medicaid? (Commonwealth Fund issue brief, Nov. 2016)

Medicaid: A Vital Health Coverage Program (Families USA issue briefs and fact sheets on block grants, per-capita caps, and more; August 2016)