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March 7, 2017   Medicaid Planning

Per capita caps on Medicaid introduced in repeal and replace legislation

By Valerie Peterson, J.D.

draft of American Health Care ActMonday, House Republicans released the bill that they have drafted to repeal the Affordable Care Act.  The new legislation is called the “American Health Care Act,” and you can review it in its entirety here (from the House Energy and Commerce Committee) and here (from the House Ways and Means Committee).  
 
As expected, the bill contains major changes to the Medicaid program, including the use of per capita caps, found in Subtitle C of the proposed bill.  For more on per capita caps and the possible costs associated with them, see our prior blog post.  Additional articles that discuss per capita caps include, “5 Key Questions: Medicaid Block Grants & Per Capita Caps” from the Kaiser Family Foundation and “Per Capita Caps in Medicaid - Lessons from the Past” published by the New England Journal of Medicine.    
 
The proposed bill also seeks to eliminate 3-month retroactive eligibility for Medicaid, and it eliminates the state’s ability to increase the home equity limits to $750,000 or higher.
 
The House Energy and Commerce Committee will vote on the bill it released Wednesday, March 8.  The Ways and Means Committee has scheduled a markup of their legislation March 8 as well.
 
ElderCounsel will be tracking this bill closely to keep you updated on its progress, and we will spend time discussing it during our next Final Friday Update on March 31, 12:00 - 12:30 p.m. ET.

Final Friday Update: 30 Days in 30 Minutes
Friday, March 31, 12:00 - 12:30 p.m. ET
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