{"id":9020,"date":"2016-11-11T15:56:00","date_gmt":"2016-11-11T15:56:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2016\/11\/11\/what-happens-to-medicaid-in-california-under-a-trump-administration\/"},"modified":"2016-11-11T15:56:00","modified_gmt":"2016-11-11T15:56:00","slug":"what-happens-to-medicaid-in-california-under-a-trump-administration","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/what-happens-to-medicaid-in-california-under-a-trump-administration\/","title":{"rendered":"What Happens To Medicaid In California Under A Trump Administration?"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/11\/11\/501611509\/what-happens-to-medicaid-in-california-under-a-trump-administration?utm_medium=RSS&amp;utm_campaign=healthcare\">April Dembosky<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/11\/11\/501611509\/what-happens-to-medicaid-in-california-under-a-trump-administration?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2016\/11\/11\/medi-cal_custom-ce9190afafb1129efb7ad2ba8b7acb963c0a3a04-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2016\/11\/11\/medi-cal_enl-dbe2c9ee052931bb85908ecdfdbd6cc019491045-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>California Gov. Jerry Brown signed a Medicaid expansion into law as part of the state&#8217;s budget authorization in 2013. <strong>Rich Pedroncelli\/AP<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>toggle caption<\/strong><\/div>\n<p><span>Rich Pedroncelli\/AP<\/span><\/div>\n<\/div>\n<p>President-elect Donald Trump has vowed that he will <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2016\/11\/09\/501451368\/here-is-what-donald-trump-wants-to-do-in-his-first-100-days\">repeal and replace<\/a> Obamacare. Specifics are scarce, but one plan Trump has outlined would change how the federal government funds Medicaid, health coverage for low-income people.<\/p>\n<p>Twenty-million Americans now have health coverage because of Obamacare. A full quarter of them are in California. And most of them are covered by Medi-Cal, California&#8217;s version of Medicaid.<\/p>\n<p>&#8220;Winding back the clock would create all kinds of turbulence and disruption,&#8221; says Larry Levitt, senior vice president for special initiatives at the Kaiser Family Foundation.<\/p>\n<p>Right now, the federal government shares the cost of Medicaid with the states, no matter how many people are enrolled. But Trump wants to put a limit on that funding and give states a fixed pot of money called a block grant.<\/p>\n<p>&#8220;A block grant would give California greater flexibility in running the Medi-Cal program, but it would also give the state less money,&#8221; Levitt says.<\/p>\n<p>California would feel the pain more than other states. &#8220;The effect is magnified in California in part because the state has been so successful in getting people signed up for coverage,&#8221; Levitt says.<\/p>\n<div><span>Article continues after <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/about-npr\/186948703\/corporate-sponsorship\" target=\"_blank\">sponsorship<\/a><\/span><\/div>\n<aside>\n<div><\/div>\n<\/aside>\n<p>And in California, 62 percent of Medi-Cal enrollees who have signed up since Obamacare allowed states to expand Medicaid are Latino, African-American, or Asian-American.<\/p>\n<p>To save money, some states could pay doctors and hospitals less. But in California, payment rates are already the second lowest in the country.<\/p>\n<p>&#8220;California can&#8217;t really pay much less than it does to providers,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/ph.ucla.edu\/faculty\/kominski\">Gerald Kominski<\/a>, a professor of health at the University of California, Los Angeles.<\/p>\n<p>In the face of severe budget cuts, Kominski says, the only choice California really would have is to reduce services or reduce the number of people who get Medi-Cal.<\/p>\n<p>&#8220;That would have a devastating consequence on the Medicaid expansion population in California, and would basically put everyone who&#8217;s been newly enrolled in the program back off the program,&#8221; he says.<\/p>\n<p>It&#8217;s unclear how soon a Trump administration would change Medicaid funding, so health advocates are encouraging people to continue signing up for Medicaid and other coverage during the current Obamacare open enrollment season.<\/p>\n<p>&#8220;California is not an island,&#8221; says Anthony Wright, executive director of Health Access, an advocacy group, adding that the state &#8220;must engage fully in the coming national debate on the future of health reform \u2014 especially as an example of what has been achieved, and what we can&#8217;t give up.&#8221;<\/p>\n<p><em>This story is part of a reporting partnership with NPR, KQED and<\/em> <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a>, <em>which is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/github.com\/fivefilters\/block-ads\/wiki\/There-are-no-acceptable-ads\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/11\/11\/501611509\/what-happens-to-medicaid-in-california-under-a-trump-administration?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"What Happens To Medicaid In California Under A Trump Administration?\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2016\/11\/11\/501611509\/what-happens-to-medicaid-in-california-under-a-trump-administration?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/11\/11\/501611509\/what-happens-to-medicaid-in-california-under-a-trump-administration?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2016\/11\/11\/medi-cal_custom-ce9190afafb1129efb7ad2ba8b7acb963c0a3a04-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2016\/11\/11\/medi-cal_enl-dbe2c9ee052931bb85908ecdfdbd6cc019491045-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>California Gov. Jerry Brown signed a Medicaid expansion into law as part of the state&#8217;s budget authorization in 2013. <strong>Rich Pedroncelli\/AP<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>toggle caption<\/strong><\/div>\n<p><span>Rich Pedroncelli\/AP<\/span><\/div>\n<\/div>\n<p>President-elect Donald Trump has vowed that he will <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2016\/11\/09\/501451368\/here-is-what-donald-trump-wants-to-do-in-his-first-100-days\">repeal and replace<\/a> Obamacare. Specifics are scarce, but one plan Trump has outlined would change how the federal government funds Medicaid, health coverage for low-income people.<\/p>\n<p>Twenty-million Americans now have health coverage because of Obamacare. A full quarter of them are in California. And most of them are covered by Medi-Cal, California&#8217;s version of Medicaid.<\/p>\n<p>&#8220;Winding back the clock would create all kinds of turbulence and disruption,&#8221; says Larry Levitt, senior vice president for special initiatives at the Kaiser Family Foundation.<\/p>\n<p>Right now, the federal government shares the cost of Medicaid with the states, no matter how many people are enrolled. But Trump wants to put a limit on that funding and give states a fixed pot of money called a block grant.<\/p>\n<p>&#8220;A block grant would give California greater flexibility in running the Medi-Cal program, but it would also give the state less money,&#8221; Levitt says.<\/p>\n<p>California would feel the pain more than other states. &#8220;The effect is magnified in California in part because the state has been so successful in getting people signed up for coverage,&#8221; Levitt says.<\/p>\n<div><span>Article continues after <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/about-npr\/186948703\/corporate-sponsorship\" target=\"_blank\">sponsorship<\/a><\/span><\/div>\n<aside>\n<div><\/div>\n<\/aside>\n<p>And in California, 62 percent of Medi-Cal enrollees who have signed up since Obamacare allowed states to expand Medicaid are Latino, African-American, or Asian-American.<\/p>\n<p>To save money, some states could pay doctors and hospitals less. But in California, payment rates are already the second lowest in the country.<\/p>\n<p>&#8220;California can&#8217;t really pay much less than it does to providers,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/ph.ucla.edu\/faculty\/kominski\">Gerald Kominski<\/a>, a professor of health at the University of California, Los Angeles.<\/p>\n<p>In the face of severe budget cuts, Kominski says, the only choice California really would have is to reduce services or reduce the number of people who get Medi-Cal.<\/p>\n<p>&#8220;That would have a devastating consequence on the Medicaid expansion population in California, and would basically put everyone who&#8217;s been newly enrolled in the program back off the program,&#8221; he says.<\/p>\n<p>It&#8217;s unclear how soon a Trump administration would change Medicaid funding, so health advocates are encouraging people to continue signing up for Medicaid and other coverage during the current Obamacare open enrollment season.<\/p>\n<p>&#8220;California is not an island,&#8221; says Anthony Wright, executive director of Health Access, an advocacy group, adding that the state &#8220;must engage fully in the coming national debate on the future of health reform \u2014 especially as an example of what has been achieved, and what we can&#8217;t give up.&#8221;<\/p>\n<p><em>This story is part of a reporting partnership with NPR, KQED and<\/em> <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a>, <em>which is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/github.com\/fivefilters\/block-ads\/wiki\/There-are-no-acceptable-ads\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-9020","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/9020","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=9020"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/9020\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=9020"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=9020"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=9020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}