Per Capita Cap on Medicaid Expansion Would Make States Spend Billions More
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May 02, 2025
Two recent studies have shown that capping per-enrollee spending for the Medicaid expansion population — which Republicans are reportedly discussing — could shift billions in costs to states.
The U.S. House of Representatives on April 10 voted 217-215 to adopt a fiscal year 2026 budget resolution that calls for up to $880 billion in Medicaid cuts to help pay for President Donald Trump’s tax cuts. The House Energy and Commerce Committee, which has jurisdiction over Medicaid, is expected to mark up its portion of budget reconciliation legislation on May 7.
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