Better Health Care Act Deepens Ohio Medicaid Cuts; Senate Legislation Creates Shortfall of $58-93 billion by 2030

It puts the health care of children, persons with disabilities, and older adults at risk. It will result in hundreds of thousands of Ohioans losing their health care coverage, with nowhere to turn

The Center for Community Solutions updated its estimates on the impact of the American Health Care Act (AHCA), now known as the Better Care Reconciliation Act (BCRA) as it works its way through the Senate.

Compared to the House, the Senate has further deepened the shortfall in funding to Ohio’s Medicaid program through the implementation of per-capita caps in two ways. First, the Senate removed the additional protections for the elderly and disabled and made the medical consumer price index (CPI-M) uniform across all groups affected by the legislation. Second, by 2025, the legislation will reduce the per capita inflationary number by moving from CPI-M to the consumer price index for all goods (CPI-U), from 3.8 percent to 2.4 percent.

To understand the impact, CCS remodeled its earlier estimates to reflect the Senate’s changes, using a 10-year time frame. A few key findings:

1. The AHCA would cause a shortfall of $41 billion-$71 billion for Ohio’s Medicaid program by 2030. The BRCA increases the shortfall range to $58 billion-$93 billion.

2. Removing protections for the elderly and disabled would create a cut of $2 billion – $2.2 billion by 2025 before     CPI-U is implemented.

3. Differences between the AHCA and BCRA by eligibility group follow:

Loren Anthes, public policy fellow of Community Solutions’ Center for Medicaid Policy and the lead researcher behind the report, said, “The Senate goes much further than the House in limiting spending through a per capita cap, increasing the shortfall by upwards of 22 billion dollars by 2030….

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