If policies proposed by GOP presidential candidate Mitt Romney and his running mate, Paul Ryan, were put in place, among the results would be deep cuts in federal Medicaid spending in Kansas and other states, according to a new report from the Kaiser Commission on Medicaid and the Uninsured.
Nationwide, federal Medicaid spending would drop $1.7 trillion between 2013 and 2022, according to the analysis. Of that, $932 billion would come from repealing the Affordable Care Act. The other $810 billion would come from reductions or savings realized by converting Medicaid to a block grant program for states, capping the amount of federal aid each state could receive.
Romney's Medicaid and budget proposals already have been approved twice in the Republican-dominated U.S. House but were not advanced due to opposition from the Democrats who control the U.S. Senate and the White House.
Romney once again voiced his support for Medicaid block grants and his vow to repeal Obamacare before a national audience during the third presidential debate on Monday night. Romney said the block grants had been successfully tried in Rhode Island and Arizona.
Kansas Gov. Sam Brownback, a Republican, also has championed Medicaid block grants and has asked federal officials to grant one to Kansas as part of a Medicaid waiver application his administration submitted with his plan to put virtually all Kansas Medicaid enrollees into managed care plans run by private insurance companies.
That request is still pending.
Supporters of the Romney Medicaid and budget proposals say they are needed to help cut the federal budget deficit. Critics say they would mean certain cuts in services to Medicaid patients and reduced payments to hospitals and other medical providers.
The Kaiser report, a more detailed reprise of one published in 2011, offered new information by breaking down the projected reductions in federal Medicaid spending in each state, should the Romney proposals be enacted.
Kansas would see a 36 percent reduction in federal Medicaid dollars over the 2013-2022 period, or about $12 billion, according to the report.
Kansas is expected to spend about $3.2 billion on Medicaid next year, with the federal government picking up about 57 percent of that cost.
The analysis drew on estimates prepared earlier by the Congressional Budget Office.
The projected reductions in spending from repealing Obamacare were based on an assumption that each state would expand the number of people eligible for Medicaid services under the law. The U.S. Supreme Court ruled earlier this year that states could not be obliged under the law to expand Medicaid eligibility.
Some Republican governors have signaled that their states would not add people to Medicaid, should the health reform law stay on the books.
Brownback has been a vocal opponent of the Affordable Care Act, but has not yet said whether he would propose expanding the program in Kansas. He has said he expects the reform law to be repealed.