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What Could a Medicaid Per Capita Cap Mean for Low-Income People on Medicare?

Issue Brief
  1. This brief examines the American Health Care Act as voted out of the House of Representatives Energy and Commerce Committee on March 9, 2017, and will be updated as changes to the bill are made.

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  2. See Letter from Thomas E. Price, Secretary of Health and Human Services, and Seema Verna, Administrator of the Centers for Medicare and Medicaid Services, to Governors on March 14, 2017, available at https://www.hhs.gov/sites/default/files/sec-price-cms-admin-verma-ltr.pdf.

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  3. The House of Representatives Committee on the Budget passed a motion to express the support of the Committee prior to the consideration of the rule for the American Health Care Act for state flexibility in the design of their Medicaid program on March 16, 2017.

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  4. Four governors, John Kasich from Ohio, Rick Snyder from Michigan, Brian Sandoval from Nevada, and Asa Hutchinson from Arkansas, send a letter to Majority Leader Mitch McConnell and House Speaker Paul Ryan describing how they believe the AHCA should be changed.

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  5. Medicare Payment Advisory Commission (MedPAC) and Medicaid and CHIP Payment and Access Commission (MACPAC), “Data book: Beneficiaries dually eligible for Medicare and Medicaid,” January 2017, Exhibit 4.

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  6. The Administration may be able provide states more latitude.  See Letter from Thomas E. Price, Secretary of Health and Human Services, and Seema Verna, Administrator of the Centers for Medicare and Medicaid Services, to Governors on March 14, 2017, available at https://www.hhs.gov/sites/default/files/sec-price-cms-admin-verma-ltr.pdf.

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  7. The House of Representatives Committee on the Budget passed a motion to express the support of the Committee prior to the consideration of the rule for the American Health Care Act for state flexibility in the design of their Medicaid program on March 16, 2017.

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  8. Four governors, John Kasich from Ohio, Rick Snyder from Michigan, Brian Sandoval from Nevada, and Asa Hutchinson from Arkansas, send a letter to Majority Leader Mitch McConnell and House Speaker Paul Ryan describing how they believe the AHCA should be changed.

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  9. The Medicare Savings Programs provide help for low-income people on Medicare with Medicare’s premiums and cost-sharing.

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  10. Medicare Payment Advisory Commission (MedPAC) and Medicaid and CHIP Payment and Access Commission (MACPAC), “Data book: Beneficiaries dually eligible for Medicare and Medicaid,” January 2017, Exhibit 3.

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  11. McWilliams, J. Michael, Ellen Meara, Alan M. Zaslavsky, and John Z. Ayanian, “Medicare Spending for Previously Uninsured Adults,” Annals of Internal Medicine (2009), Dec. 1; 151(11): 757-66.

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