Cut to Medicaid Match Risks Coverage Loss, Higher State Costs

A Republican-backed proposal that would eliminate enhanced federal funding to states that expanded Medicaid eligibility under the Affordable Care Act could produce aftershocks that would affect states and beneficiaries alike, according to a report released Thursday by the health policy nonprofit KFF.

KFF’s analysis explored what would happen if lawmakers proceeded with a plan to shelve the federal government’s 90% match rate for states that expanded Medicaid eligibility to adults earning up to 138% of the federal poverty level, or $21,597.

Under the enhanced funding, states receive a 90% federal match for adults covered through the expansion, ...