Change to Federal Match Rate Could Upend Medicaid Market
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Dec 13, 2024
While President-elect Donald Trump has not disclosed what his health care policy priorities will be when he takes office next month, some conservative think tanks have recommended decreasing the federal medical assistance percentage (FMAP) for the Medicaid expansion population. Such a move would require congressional approval, but if that were to happen, it could have a significant impact on the uninsured rate and access to care for many adults, according to a recent KFF issue brief.
Twelve states have laws that would automatically end Medicaid expansion or require other changes if the FMAP falls below the current 90% level. However, Robin Rudowitz, an author of the KFF brief, tells AIS Health that “all states would basically need to come back to the table to evaluate what to do because the federal government pays for such a large share” of the Medicaid expansion.
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