GOP Rep. Lays Out Exactly How Party Will Kick People Off Medicaid
Representative Austin Scott brazenly admitted that Republicans want to scale back Medicaid.

House Republicans are trying to drastically cut Medicaid coverage and blame it all on the states.
When Democrats expanded Medicaid coverage under President Barack Obama’s Affordable Care Act to include adults with incomes of up to 138 percent of the poverty level, states that implemented the expansion received a 90 percent federal medical assistance percentage, or FMAP, from the federal government. That means the federal government covers 90 percent of the costs for those enrolled in the ACA expansion, and the state covers 10 percent.
The GOP wants to drastically decrease the federal match rate for the ACA expansion and shift more financial responsibility to states, Republican Representative Austin Scott told Fox Business Tuesday.
“What we have talked about is moving that 90 percent level of the expansion back towards the more traditional levels of 50 to approximately 80 percent instead of the 90/10,” Scott said.
“Nobody would be kicked off of Medicaid as long as the governors decided that they wanted to continue to fund the program. And so we are going to ask the states to pick up and pay,” Scott said.
The cut would be devastating to the 20 million Americans who currently rely on the expansion for health insurance coverage—many of whom reside in red states—and would leave some 40 states that have adopted the ACA expansion to fend for themselves with their limited budgets. Research shows that states with the expansion have lower uninsured rates and those covered by the program have gotten healthier and more financially stable.
According to an analysis from the health nonprofit KFF, if states had to pay a higher match-rate percentage, many would likely abandon the ACA program altogether, resulting in millions of lost coverage for low-income Americans. Twelve states currently have laws in place that would end the expansion immediately or require immediate changes if the federal match rate were to drop, KFF pointed out.
“Eliminating the enhanced FMAP for adults in the Medicaid expansion could reduce Medicaid spending by nearly one-fifth ($1.9 trillion) over a 10-year period and up to nearly a quarter of all Medicaid enrollees (20 million people) could lose coverage,” the analysis found.
Led by House Speaker Mike Johnson, Republicans have long tried to slash the ACA expansion to help pay for Donald Trump’s tax cuts. Now the GOP is doing everything it can to avoid taking responsibility for putting the health of millions of Americans at risk.