State-by-State Impact of the GOP Medicaid Plan

This analysis of the House Budget Plan that was passed in 2012 finds that repealing the Affordable Care Act (ACA) and converting Medicaid to a block grant would trigger significant decreases in federal Medicaid spending and could result in substantial reductions in enrollment and payments to providers compared to current projections. The analysis, conducted by the Urban Institute for the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured, updates a similar study from May 2011, which analyzed the House Budget Plan that passed that year. The new analysis provides national and state-by-state estimates of the impact of the 2012 House plan on federal spending, enrollment, states and providers. The reductions in federal spending for Medicaid would likely lead to increases in the number of Americans without health insurance and strain the safety net, even with additional flexibility for states to administer their programs.