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Major Threat: How the Better Care Reconciliation Act Jeopardizes Medicaid Home- and Community-Based Services

by

Susan Reinhard, AARP Public Policy Institute

,

Jean Accius

,

Brendan Flinn, AARP Public Policy Institute

&

Ari Houser, AARP Public Policy Institute

Published July 29, 2016

The Better Care Reconciliation Act (BCRA) puts Medicaid home- and community-based services (HCBS) on the chopping block. The proposed demonstration program for Medicaid HCBS, included in the revised version of the Senate Bill on July 13, does not change the big picture. According to new analysis from the AARP Public Policy Institute, states may cut Medicaid HCBS by as much as $46 billion in 2026 to stay within their allotted per capita caps-- a 22 percent cut. Read the new Insight on the Issues to learn more and find out the potential impact on your state.

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