KY Policy Blog

Ending Cost Sharing Reduction Payments is a Lose-Lose for Kentucky

By Dustin Pugel
August 15, 2017

Since 2014, the federal financial assistance for out-of-pocket health care costs known as Cost Sharing Reductions (CSRs) has been under threat – first from a lawsuit filed by the House of Representatives, and now by threats from President Donald Trump to stop paying for it. In either case, ending those payments would hurt middle-class families who purchase insurance through the exchanges, destabilize the insurance market and raise costs for the federal government.

What are CSRs and how do they work?

CSRs help low-income people use the insurance they purchase on read more

Kentuckians Are Concerned About Proposed Changes to Medicaid

By Dustin Pugel
August 9, 2017

Kentucky officials recently asked the Centers for Medicare and Medicaid Services (CMS) to change certain parts of their original request to alter the commonwealth’s Medicaid program. These changes would move Kentucky’s health and economy further in the wrong direction by making the work requirement more difficult to comply with and instituting a six-month lock out for enrollees who fail to report relevant changes in income or employment hours within ten days.

State officials decided to open a comment period for public input on these changes. The result was that 1,273 read more

How Cuts to Federal Non-Defense Discretionary Funding Would Impact Kentucky

By Ashley Spalding
August 8, 2017

When Congress returns from its August break, the House is expected to vote on their plan for 2018 appropriations that includes cuts to non-defense discretionary (NDD) funding, as well as deep cuts to entitlement programs. The proposed cuts to NDD programs would harm our state’s ability to improve education, support children and families, make our communities safer and healthier and develop the workforce and economy.

As noted previously, the proposed House appropriations for NDD programs would be 17 percent below what was appropriated in 2010 after adjusting for inflation and read more

Revised Senate Health Repeal Has Same Harmful Impacts

By Jason Bailey
July 13, 2017

Senate leaders released a “new” version of their bill to replace the Affordable Care Act that fixes none of the original Senate bill’s core problems and makes some of them even worse.

Through its cuts in funding, the Senate bill would effectively end Kentucky’s highly-successful Medicaid expansion, resulting in lost coverage for 473,000 Kentuckians. The bill goes beyond that to permanently harm the traditional Medicaid program by instituting caps that will squeeze funding over time. Those caps will jeopardize coverage for another nearly 1 million Kentuckians, including people with disabilities, read more

Kentucky Has the Most to Lose from Senate Health Care Repeal Bill

By Dustin Pugel
June 28, 2017

Kentucky would see its uninsured rate more than triple under the proposed Senate bill to repeal the Affordable Care Act (ACA). According to the Urban Institute, Kentucky’s uninsured population would jump by 541,000 people in 2022 based on the proposed changes to the healthcare system. The primary reason for the coverage losses is a cut in federal funding for Medicaid and premium subsidies on the insurance marketplace of $6.3 billion in 2022, a  58.5 percent reduction. That’s the largest percentage cut of any state.

The coverage losses under the Senate read more

Senate Health Care Repeal Bill a Drastic Step Backward for Kentucky’s Health

By Dustin Pugel
June 23, 2017

The Senate released the discussion draft of their bill yesterday to repeal the Affordable Care Act (ACA). If passed, the Senate proposal would be a terrible setback for the 1.4 million Kentuckians covered by Medicaid as well as all Kentuckians who benefit from the patient protections and assistance buying coverage contained in the ACA.

Nationally, the Congressional Budget Office (CBO) estimates that it would end coverage for 22 million Americans and drive up health care costs for nearly everyone else.

Effectively Ends Medicaid Expansion

Over 473,000 low-income Kentuckians have gained read more

Medicaid Cuts Would Harm Kentucky’s Kids

By Dustin Pugel
June 21, 2017

The American Health Care Act (AHCA) makes massive cuts to Medicaid, which currently covers 537,736 Kentucky children – 42 percent of kids in the commonwealth when combined with the Kentucky Children’s Health Insurance Program. Medicaid is a vital source of health care for children that provides both immediate care and long-term benefits.

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Medicaid Works for Kentucky’s Kids

Medicaid has always been used as a tool for providing care to kids from low-income read more

Kentuckians Who Lose Coverage from Medicaid Cuts Won’t Have Other Options

By Dustin Pugel
June 7, 2017

Many of Kentucky’s 1.4 million Medicaid enrollees would lose coverage from the radical cuts proposed in the American Health Care Act (AHCA) and the proposed Trump Budget. Because of the changes in the AHCA to the marketplaces, those left without Medicaid coverage wouldn’t have other affordable options for insurance, either. This toxic combination of slashing Medicaid and making private insurance more expensive will hit older and low-income Kentuckians especially hard.

According to a report by the Center on Budget and Policy Priorities, a large number of people near the poverty read more

The Health Care Repeal Bill Would Double What Kentucky Must Pay for Medicaid Expansion

By Dustin Pugel
June 6, 2017

The American Health Care Act (AHCA) ends extra federal funding for states that expanded Medicaid eligibility, meaning Kentucky would have to increase its Medicaid expansion funding 111 percent to make up the difference. This $404.9 million increase in state spending would almost certainly lead to Kentucky ending coverage for the 472,000 Kentuckians insured through the expansion.

How Is Medicaid Paid for In Kentucky?

Medicaid is a shared state-federal program, and federal government pays states differently for their traditional Medicaid population depending on how well-off people are in each state. For read more

What Combined Federal Cuts to Medicaid Would Mean for Kentucky

By Dustin Pugel
June 2, 2017

Kentucky’s Medicaid program is potentially facing enormous cuts to federal funding through the American Health Care Act (AHCA) and President Trump’s proposed budget. Nationwide, Medicaid as a whole would undergo a $1.4 trillion combined cut over the next ten years, a 45 percent reduction in funding by 2026 compared to current law. This cut would have the devastating effect of making coverage for low-income Kentuckians much harder to get and use — including children, pregnant women, people with disabilities and seniors.

The Cuts Would Be Made in Different Ways, All read more