Understanding Harmful Federal Proposals

The new administration in Washington and some members of Congress have proposed drastic changes to the Medicaid program.  Advocates and others believe Medicaid block grants, per-capita caps, work requirements 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:

Block Grants and Spending Caps

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

Medicaid Financing: Dangers of Block Grants and Per Capita Caps Lessons from TANF and CCDBG (Center for Law and Social Policy; February 2017)

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

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

What Would Block Grants or Limits on Per-Capita Spending Mean for Medicaid? (Commonwealth Fund; November 2016)

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

Work Requirements

Medicaid Works: No Work Requirement Necessary (Center for Law and Social Policy; April 2018)

Medicaid and Work Requirements: New Guidance, State Waiver Details and Key Issues (Kaiser Family Foundation; January 2018)

The Problem With Work Requirements for Medicaid (JAMA Forum; January 2018)

Work Requirements in Social Safety Net Programs (Urban Institute; December 2017)

Work as a Condition of Medicaid Eligibility: Key Take-Aways from TANF (Medicaid and CHIP Payment and Access Commission; October 2017)

Impacts on Children

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

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