Advocates for the elderly worry that GOP plans to end Medicaid’s open-ended spending and replace it with per-capita limits could pose a risk for low-income older people who rely on the federal-state program for nursing and other long-term care.
Lesser-known provisions in the Republican proposal to replace the Affordable Care Act would push some Medicaid enrollees out of coverage and cause financial pain for others.
The health insurance company, which operates in 12 states plus Puerto Rico, grew out of a network of Southern California clinics founded in 1980. Despite lower-than-expected profits in 2016, Molina’s track record of working with low-income patients has generally served it well under Obamacare.
Under the Affordable Care Act, hospitals made a high-stakes trade of massive cuts in federal aid in exchange for millions of newly insured customers. Now that deal is in jeopardy.
Some foreign-born California residents fear they could be penalized for using Medi-Cal and other social benefits. Others, in families of mixed-immigration status, worry about jeopardizing their loved ones’ chances of becoming green-card holders or citizens.
The thought of losing California’s Obamacare gains is “somewhere between nauseating and mind blowing,” says Robert K. Ross, CEO of the California Endowment.
People in these facilities are now guaranteed more flexibility on food and roommate choices, as well as improved procedures for grievances and discharges.
The CEO of the group’s state organization, Kathy Kneer, says private donations can’t cover the potential loss of federal money for reproductive health services.
California officials jumped at the chance to cover millions more low-income people by expanding its Medicaid program. Now, health policymakers and advocates fear the Trump administration and a Republican-ruled Congress will roll back the state’s progress.
But block grants face likely resistance from states, poised to lose many millions.