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Medicaid has evolved a lot in the five decades since it was signed into law. Now, the American Health Care Act would cut more than $800 billion from Medicaid over 10 years. Rightfully, there has been a lot of focus on what that would mean for low-income adults. But Medicaid also is a lifeline for roughly 6 million seniors, most of whom cannot afford Medicare’s cost-sharing requirements.
Because Medicaid is a jointly operated program, federal actions often require state reactions and state budgets provide a trove of stories. Medicaid is among any state’s most expensive, and fastest growing, programs so every governor looks for ways to contain costs.
If the Affordable Care Act’s Medicaid expansion is rolled back in a repeal package, governors across the country are going to have some difficult choices to make, and it will be hard to cut services without impacting seniors.
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