The Impact of GOP Budget Law on Healthcare in Non-Expansion States
The recent GOP-passed budget law, which includes many of President Donald Trump’s priorities, is expected to have a significant impact on patients and hospitals in the 10 states that have refused to expand Medicaid under the Affordable Care Act (ACA). Despite arguments from GOP lawmakers in these states that their conservative approach to government programs would pay off in the long run, the reality is shaping up differently.
For example, Georgia, with a population of just over 11 million, is projected to see as many people lose insurance coverage through ACA marketplaces as California, a state with more than triple the population, according to estimates by KFF, a health information nonprofit. The new law imposes additional paperwork requirements on Obamacare enrollees, reduces the enrollment period, and cuts funding for navigators who assist in plan selection. These changes are expected to disproportionately affect states like Florida and Texas, where a higher proportion of residents are enrolled in ACA plans.
The budget law, known as the “One Big Beautiful Bill,” will result in significant changes to healthcare nationwide as it trims federal spending on Medicaid by over $1 trillion over the next decade. This program covers more than 71 million people with low incomes and disabilities, and the law is estimated to cause 10 million people to lose coverage by 2034, as per the Congressional Budget Office.
While many provisions of the law target the 40 states that expanded Medicaid under the ACA, the consequences will be felt beyond those states. The proposal to cut federal payments for people added to Medicaid via the expansion did not make it into the law, leaving non-expansion states with potential coverage losses. Additionally, the expiration of enhanced federal subsidies for Obamacare plans could further drive up premiums and increase the number of uninsured individuals.
For individuals like Francoise Cham of Miami, who relies on Obamacare coverage, the policy changes could be life-altering. Cham, a 62-year-old single mom, values her health insurance as a safety net and fears being unable to afford coverage if premiums spike. The potential expiration of enhanced ACA subsidies would have a widespread impact, particularly in states like Florida where many residents rely on the marketplace for coverage.
In conclusion, the GOP budget law poses challenges for non-expansion states, impacting both patients and hospitals. As the healthcare landscape evolves, it will be crucial for policymakers to address the repercussions of these changes and work towards ensuring access to affordable healthcare for all individuals.
