In a To the Point post, George Washington University's Sara Rosenbaum examines how last week's draft bill from the U.S. House of Representatives would alter the ACA's Medicaid expansion for low-income working-age adults, and how the Medicaid program—which serves 74 million adults and children—would function as a whole. The Medicaid provisions are similar to those in the version of the bill released last night.
Rosenbaum explains that, under the draft bill, the ACA’s Medicaid expansion funding would cease at the end of 2019. The bill would also replace the current Medicaid funding system with "per capita cap" payments tied to enrollment, “changing the financial structure Medicaid has rested on for a half-century.”