Graham-Cassidy Issue Brief and State Modeling

Our friends at Manatt have put together a new analysis of the impact Graham-Cassidy would have on state budgets, including NY. Find the analysis HERE.

Manatt Health has produced a new analysis on the proposal that was released yesterday through Robert Wood Johnson State Health and Value Strategies: Update: State Policy and Budget Impacts of New Graham-Cassidy Repeal and Replace Proposal

Relative to current law, New York faces a reduction in funds of more than 25% over the 2020 to 2026 period under the Graham-Cassidy unadjusted allotments.

In a revived effort to pass a bill to repeal and replace the Affordable Care Act before reconciliation instructions expire on September 30th, Senators Graham and Cassidy are advancing a proposal that would retain many key provisions of the Better Care Reconciliation Act (BCRA) – including per capita caps for Medicaid non-expansion populations – and replace federal funding for tax credits, cost sharing reductions, Medicaid expansion, and the Basic Health Program with a capped allotment that would be distributed to states in the form of a block grant.

As discussed in the brief and illustrated in the accompanying state-by-state analysis, the proposal alters the distribution of federal funds among states, sending dollars from expansion states and other states that receive a relatively significant share of current law federal subsidies for Marketplace coverage to non-expansion states and those with lower Marketplace participation and/or costs.

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