John Holahan

1 month ago | urban.org | Lisa Dubay |Claire O'Brien |John Holahan

Majority leadership in the House of Representatives has proposed implementing substantial federal funding cuts that would affect the Medicaid program over the next 10 years. This paper is one in a series that assesses the potential impacts of different policies being considered for Medicaid.

1 month ago | urban.org | John Holahan |Claire O'Brien |Lisa Dubay

In this paper, we make estimates of a policy that would impose per capita caps on the Medicaid expansion population created by the Affordable Care Act. Per capita caps limit the growth in federal spending on a per-enrollee basis. This paper builds upon previous work that imposed per capita caps on the entire Medicaid program. In response to concerns about the dramatic impact of that policy, per capita caps on the expansion population would represent a more narrow targeted policy.

Feb 27, 2025 | urban.org | John Holahan |Claire O'Brien |Lisa Dubay

Leadership in the US House of Representatives is considering substantial federal funding cuts to Medicaid over the next 10 years. This paper is one in a series that assesses the implications of different proposals. This paper focuses on a policy proposal that would impose per capita caps on Medicaid spending and reduce the 90 percent federal matching rate that now applies to adults covered under the optional Medicaid expansion.