Spotlight on the Impact of the Senate Better Care Reconciliation Act on Total Medicaid Spending

These new fact sheets show the depth of Medicaid cuts proposed by the BCRA in Alaska, Colorado, Nevada, North Dakota, Ohio and West Virginia.

For more than 50 years, the Medicaid program has served as a critical safety net for millions of people who deplete their life savings and turn to Medicaid for assistance as their ability to care for themselves declines. The Better Care Reconciliation Act (BCRA) threatens the Medicaid program by limiting future federal funding that states can receive to provide needed health care and long-term services and supports (LTSS). Specifically, the bill repeals the Medicaid expansion and implements a capped financing model for states.

New fact sheets from the AARP Public Policy Institute illustrates the depth of the cuts in select states and shows the implications of the BCRA for Medicaid funding and enrollment.

 

These states stand to lose more than $79 billion in total Medicaid funding through fiscal year (FY 2026).

State

Total Cut to Medicaid (Federal and State), FY2020-2026

Alaska

$3 billion

Colorado

$17.2 billion

Nevada

$10.7 billion

North Dakota

$1.7 billion

Ohio

$37.4 billion

West Virginia

$1.9 billion

 

 

Total Cut to these Six States

$79.1 billion

 

By FY 2026, more than 1.4 million people in these states could lose their Medicaid coverage under the bill.

State

Total Loss of Medicaid Coverage, FY2026

Alaska

37,000

Colorado

365,000

Nevada

236,000

North Dakota

16,600

Ohio

658,000

West Virginia

162,000

 

 

 

 

Total Coverage Loss in these Six States

1,474,600

 

The fact sheets include three new data points illustrating the extent of BCRA’s Medicaid financing cuts:

  • The annual cut to total (federal and state) Medicaid funding through fiscal year (FY) 2026,
  • The cumulative cut to total (federal and state) Medicaid funding from FY 2020-FY 2026,
  • The number of beneficiaries who would have to lose coverage by FY2026 in order for those remaining to maintain their current level of service.

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