off the charts
BEYOND THE NUMBERS
BEYOND THE NUMBERS
What If Chairman Ryan’s Medicaid Block Grant Were Already in Effect?
House Budget Committee Chairman Paul Ryan’s proposal to block-grant Medicaid would cut federal funding by one-third by 2022 and even more after that, we recently explained. To help show how states would likely fare under the proposal over time, we compared how much federal funding they would have received under the block grant if it had been in effect for fiscal years 2001-2010 to what they actually received (excluding the temporary funding increases that the White House and Congress provided during the last two recessions). We found that the Ryan block grant — which the House passed as part of Chairman Ryan’s overall budget — would have cut federal Medicaid funds to most states by more than 35 percent by 2010 and to several of them by more than 50 percent. Every state would have received substantially less from the federal government than it actually received, but some states would have received much, much less.
- States would have received $555 billion — or 31 percent — less over the 2001-2010 period.
- In 2010 alone, the cuts in federal funding would have totaled about $81 billion, or 37 percent (see table).
|Estimated Cuts If Ryan Medicaid Block Grant Had Been in Effect, 2001-2010 ($ millions)|
|STATE||Reduction in Federal Funds, 2010||Percentage Cut, 2010|
|Source: CBPP analysis based on CMS Medicaid spending data. To determine states’ block grant amounts under the Ryan proposal, we use federal Medicaid spending in 1998 as the base, adjusted annually by national population growth and the growth in the Consumer Price Index. We exclude federal Medicaid spending related to temporary federal matching rate increases in 2003, 2004, 2009, and 2010.|
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