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)


Report | July 2016

Mis-Managed Care: Fair Hearing Decisions on Medicaid Home Care Reductions by Managed Long Term Care Plans, June-December 2015

With the New York Chapter of the National Academy of Elder Law Attorneys, MMNY issued a report to shed light on the findings of an extensive study of fair hearing decisions on reductions of personal care and Consumer Directed Personal Assistance services hours by Managed Long Term Care (MLTC) plans.  The report makes specific policy recommendations to address the need for better oversight and monitoring of plan activities.

The report was featured in a story in the NYTimes on July 21, 2016.

See our press release on the report here.


The Medicaid Matters response to the 2016-17 proposed Executive Budget focuses on Medicaid consumer access to services, coverage and consumer assistance.  Available here are:

MMNY’s priorities focus on consumer protections, access to services, and consideration for how people will be impacted by Medicaid reforms.  The MMNY 2016 policy priorities reflect those interests.

As the State continues down the road of Medicaid system reform, MMNY remains at the forefront of advocacy efforts to raise concerns about how proposed changes will impact people, particularly as the state implements the Delivery System Reform Incentive Payment program, Value-Based Payment across all payers, and the transition of more people and benefits to Medicaid Managed Care.