traditional participants. but medicaid has a huge churn rate. if adults drop out, they have to re-enroll at the lower traditional rate, and that s where states wind up running into problems. at least eight have rules that end the expansion early if the match rate drops below 90%. many others say they would have to freeze the program if federal support decreases. medicaid is the biggest source of federal funding for many states. cutting the expansion helps reduce medicaid spending by at least $800 billion over the next ten years. it s why you re seeing this push to phase it out because you re seeing republicans want to have that savings. this is going to be a tough task to get this one through. joining us live this morning from washington, weekly standard reporter chris dayton. good morning and good luck breaking this down. oh, my gosh. we haven t seen the bill. senators will get a glimpse in four hours. the american public just after this meeting. we ll put up full screens to
market was raft r crafted. some got pushed onto medicaid. they said 100%. in my state if you re aged, blind, disabled, do you know what the match rate is? the federal government says we ll pay 63%, in other states it s 50%. that s the moral question. should we spend 100% or 90% at the end of this ten-year window on able bodied adults, or should we shift that and try and put money into the age, blind and disabled. we said, for example. seniors in nursing homes, we ll pay not only cost of medical inflation, but cost of medical inflation plus one. we heard from people saying that s a more expensive population to manage, same for disabled. we plussed that up. we have $100 billion going to states over the next ten years including 30 over the next two years before, by the way, we make any changes in the subsidies and support that are there for obamacare. so i think we ve got a balanced plan here that will work for people. we re waiting on the cbo
wait! [ garth ] great businesses deserve great rewards. [ male announcer ] the spark business card from capital one. choose unlimited rewards with double miles or 2% cash back on every purchase, every day! what s in your wallet? [ cheers and applause ] tom berwick who used to run cms implementing the affordable care act. there was something you wanted to say before break. yeah, you were talking about gaming, and i wanted to point out one subtle thing around the fiscal cliff, i think the states are watching right now to see if this administration is going to stand behind the medicaid portion of the affordable care act or signal it s willing to back out the federal share. because, i think they really need a strong signal if they can rely on that federal match rate for a good long time. that s a great point. we do have some reporting about the last standoff around the debt ceiling, who was at the
medicaid expansion. it will be rolled back but in a much more gradual way than is expected in the house bill. they cut it off in 2020. the senate won t give the process until 2021. white house staffers were briefed on the bill last night here on capitol hill. and i spoke to mark short, the white house legislative director, as he was leaving the meeting. he stopped short of saying the president is ready to endorse there bill, but he did say in his mind we are all one step closer to ending the nightmare that is obamacare. it will be a busy day up here on capitol hill. okay. thank you very much. and as we mentioned, the senate gop health care bill will delay the rollback of medicaid expansion. millions of americans may wind up losing coverage sooner. and that s because many states, they re not going to have the money to keep the program running. it has to do with the federal match rate. the expansion covers 11 million low-income adults in 31 states. the government covers 90% of the co
gop health care bill will delay the rollback of medicaid expansion to at least 2023, but millions of americans may lose coverage even sooner that that. and that s because many states won t have the money to keep running the program. it has to do with the federal match rate. the expansion covers 11 million low-income adults in 31 states, and the government covers 90% of the cost. that s a higher rate than for traditional participants. medicaid has a huge turn rate. if adults drop out, they have to re-enroll at the lower traditional rate. that s where states run into problems. at least eight have rules that end the expansion early if the match rate drops below 90%. other states will have to freeze the program if federal support decreases. it is the source of federal funding for many states. cutting the expansion helps reduce medicaid spending by at least $200 million the next ten years. of course, that leaves the question open, are senators even