Understanding the Senate’s Better Care Reconciliation Act of 2017 (BCRA): Key Implications for Medicaid

Jocelyn Guyer, April Grady, and Kevin McAvey, Manatt Health

Senate leadership has released a proposed substitute for the House-passed American Health Care Act (AHCA) known as the Better Care Reconciliation Act of 2017 (BCRA) that eliminates enhanced funding for Medicaid expansion after a three-year phase out, establishes a cap on federal Medicaid funding for nearly all beneficiaries and services, and makes a number of other changes to Medicaid. Using the Manatt Medicaid Financing Model, this analysis estimates the state-by-state impact of the cap on Medicaid and elimination of enhanced funding for expansion, taking into account that states may respond to the proposed law in a number of different ways. Manatt has also provided a cover memo to explain the data and assumptions.

BCRA State-by-State Chartbook Cover Memo

 

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