KY Policy Blog

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

CBO Shows 23 Million Would Lose Coverage Under Health Care Repeal Bill

By Dustin Pugel
May 24, 2017

The Congressional Budget Office’s (CBO) review of the health care repeal bill passed by the House weeks ago estimates that 23 million Americans would lose coverage, many low-income and older individuals’ health care costs would rise, and people with poor health would be left with unusable and unaffordable insurance options. The American Health Care Act (AHCA) would unravel the healthcare gains Kentucky has experienced in the last three years and go beyond that by inflicting ongoing damage to the original Medicaid program.

Kentucky’s uninsured would dramatically rise.

The main portion read more

What Trump Budget Proposal Would Mean for Kentucky

By Ashley Spalding
May 23, 2017

President Trump’s full budget proposal released today includes harsh, devastating cuts to critical poverty-reducing programs that provide health, nutrition and financial assistance to many Kentuckians. The budget also includes drastic cuts to federal grants to states that improve our economy and quality of life and provide needed assistance to Kentucky’s most vulnerable. The rural areas of our state, which continue to experience the greatest economic challenges, would be hit particularly hard.

Mandatory Federal Programs

President Trump’s budget proposal includes harmful cuts to so-called mandatory programs (meaning spending is determined by read more

Health Care Repeal Bill Would Squeeze In-Home Health Services for Elderly & Disabled Kentuckians

By Dustin Pugel
May 19, 2017

Important services that enable Kentuckians to receive needed care at home and in the community, rather than an institutional setting like a nursing home, will be cut back if the American Health Care Act (AHCA) becomes law.

There are currently 39,289 Kentuckians who receive Home and Community Based Services (HCBS) through Medicaid. These individuals include participants in the Supports for Community Living and Michelle P. Waiver programs, for which there is already unmet need. Because the AHCA makes permanent cuts to the traditional Medicaid program over time, the state likely read more

Kentucky Has Nation’s Most Rural Medicaid Expansion Enrollees, and AHCA Would Take That Away

By Dustin Pugel
May 16, 2017

For largely rural states like Kentucky, the Affordable Care Act (ACA) was a major boon for health coverage. There are 223,700 rural Medicaid expansion enrollees in Kentucky, more than any other state according to a new report by the Center on Budget and Policy Priorities. Fully half of Kentucky’s expansion population lives in a rural area, compared to 15 percent of expansion enrollees across the country. But the American Health Care Act (AHCA) puts those rural gains, and much more, in jeopardy.

The coverage gains Kentucky’s rural communities have experienced read more

Study of Indiana’s Medicaid Program a Warning Against Kentucky’s Plans to Charge Premiums

By Dustin Pugel
May 16, 2017

A recent evaluation of Indiana’s Medicaid waiver program should stand as a warning for Kentucky policymakers attempting to similarly charge premiums in our own Medicaid program. While proponents of Kentucky’s Medicaid waiver proposal say charging premiums wouldn’t be a barrier to coverage and care for low-income Kentuckians, the findings of the study of Indiana’s waiver suggest otherwise.

One aspect of Indiana’s Medicaid waiver program, “Healthy Indiana Program 2.0,” (HIP 2.0), is a requirement that enrollees make monthly contributions to a type of Health Savings Account called a POWER Account. The read more