Medicaid Updates and Proposed Changes Impacting Healthcare Services
In light of recent events, there was a temporary pause in federal spending causing Medicaid services to halt across the states. Governors are proposing budget changes for 2025, including increased funding for certain requirements. Furthermore, discussions in Congress involve significant cuts to Medicaid funding, potential work requirements, and lifetime limits on spending which may impact millions of beneficiaries. Stay informed about the evolving landscape of healthcare services.
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Presentation Transcript
Updates Temporary pause last week on spending by federal government caused confusion across the country Caused Medicaid services to stop working in every state for two days, policy has now been revoked
Governors 2025 Budget Proposal Governor expects more money this year Funding for new requirement that Regional Centers have to follow Public Records Act Expected increased spending on Medi-Cal However, budget released before fires so may change
Basics of Medicaid Medicaid (Medi-Cal in California) helps provide people with health care, in-home care, and other supports Funding is shared between the federal government and the states Covers almost 80 million people across the country It also pays for 70% of HCBS services
Health and Human Services Robert F. Kennedy Jr. has been nominated to be in charge of Health and Human Services During his confirmation hearing, he confused Medicare and Medicaid https://www.youtube.com/watch?v=aO7KYI7qbio
Congressional Action Congress considering $2.3 trillion in cuts to Medicaid funding partly to pay for tax cuts Considering adding work requirements even though most on Medicaid are already working Would also mean more paperwork that would have to be filled out every month One of the proposals would not have exceptions for people who use SSI Medicaid also helps people keep jobs by funding health care and case management services Can lead to loss of benefits if person doesn t meet reporting requirements, can make it less likely that people will want to work
Medicaid proposals Also looking at limiting taxes on providers Make it harder for states to fund Medicaid Additionally, there are proposals for lifetime limits on spending These proposals could lead to up to 36 million people across the country losing access to Medicaid (https://www.cbpp.org/research/health/medicaid-work- requirements-could-put-36-million-people-at-risk-of-losing- health#:~:text=Research%20suggests%20that%20policies%20that,conditions%20 or%20substance%20use%20disorders)
Impact on Futures 51% of Futures funding comes from the state and 49% from the federal government Cuts to Medicaid would mean less federal funding and either a larger percentage would have to come from the state or services would need to be reduced Could lead to reductions in HCBS (Home and Community Based Services) funds These services are funded by Medicaid
Congress also proposing making Medicaid funding a certain amount per person rather than a percentage of total funding, this would not take into account differences in medical costs
https://www.ancor.org/actions/preserve-i-dd-services-tell-congress-protect-https://www.ancor.org/actions/preserve-i-dd-services-tell-congress-protect- medicaid/ this this link can be used to send message to California Senators and Representatives opposing any cuts to Medicaid
CDSA Conference CDSA conference from March 17-19 Downtown Sacramento 17-preparation day to learn about issues 18-meet with legislators at Capital 19-debrief, attendance optional Futures will pay for registration as well as provide or help with transit and provide support as needed
What actions should this committee take? Can fill out this form to send letter to your member of Congress: Tell Congress: No Cuts to Medicaid!
