What ACA Repeal and Medicaid Reform Could Mean For NJ’s Healthcare Safety Net

In recent weeks, many journalists and health advocacy organizations have explored what repealing the Affordable Care Act – and potential plans to replace Medicaid with a federal block grant – could mean for patients served by the healthcare safety net. The changes could bring especially drastic consequences for New Jersey, with one analysis ranking New Jersey second only to California in estimated loss of federal funding to Medicaid in 2019 if the ACA is repealed. The NJ Hospital Association estimates that ACA repeal could jeopardize insurance coverage for 800,000 of the state’s residents, and bring $1.1 billion in cuts to hospitals.

Below, we have collected a selection of recent articles exploring what ACA and Medicaid changes could mean for the healthcare safety net, both in New Jersey and across the country.

Effects of ACA repeal on New Jersey and other states

States Mull Medicaid Block Grants as ACA Repeal, Changes Loom Modern Healthcare Jan. 21, 2017

Repealing Federal Health Reform: Economic and Employment Consequences for States Commonwealth Fund Jan. 2017  

ACA repeal without replacement could cost N.J. billion dollar cuts Press of Atlantic City Jan. 26, 2017

Hospitals' funding cuts could soar by $1.1B if ACA is repealed without replacement, NJHA says NJ Biz Jan. 26, 2017

N.J. Hospitals Sustained Nearly $1.5 Billion in ACA Funding Cuts, Repeal Without Replacement Will Add $1.1 Billion More Cuts press release, Jan. 26, 2017

Current Flexibility in Medicaid: An Overview of Federal Standards and State Options KFF.org Jan. 31, 2017

Obamacare Repeal May Cost States Billions of Dollars Bloomberg BNA News Jan. 31, 2017

Rolling Back the ACA’s Medicaid Expansion: What Are the Costs for States? Commonwealth Fund Feb. 10, 2017

Evidence from the Private Option: The Arkansas Experience Commonwealth Fund Feb. 22, 2017

National effects of ACA repeal

How Repealing Portions of the Affordable Care Act Would Affect Health Insurance Coverage and Premiums CBO January 2017

Hospitals Worry Repeal of Obamacare Would Jeopardize Innovations in Care NPR Morning Edition Jan. 27, 2017

Repealing the ACA Could Worsen the Opioid Epidemic Health Affairs Jan. 30, 2017

Health Policy Outlook 2017: Could High-Risk Pools Work in "Repeal and Replace"? Mathematica Policy Research Jan. 31, 2017

Health Insurers Warn of Wider Defections from ACA Marketplace for 2018 The Washington Post Feb. 1, 2017

Safety Net Hospitals Could Lose $40 Billion if ACA is Repealed Modern Healthcare Feb. 9, 2017

The Future Of Medicaid: When Improving Upon The Wheel, Start With Something Round Health Affairs Feb. 10, 2017

ACA Repeal Would Jeopardize Treatment for Millions with Substance Use Disorders, Including Opioid Addiction Center on Budget and Policy Priorities Feb. 10, 2017

ACA Round-Up: House Replacement Principles, New Bills, And Coverage Rate Updates Health Affairs Feb. 17, 2017

Health Law’s 10 Essential Benefits: A Look at What’s at Risk in GOP Overhaul RealClear Health Feb. 21, 2017

ACA Repeal Legislation and the Future of Medicaid Commonwealth Fund Mar. 2, 2017

Medicaid block grants

What Would Block Grants or Limits on Per Capita Spending Mean for Medicaid? The Commonwealth Fund Nov. 2016

Medicaid Block Grant Would Slash Federal Funding, Shift Costs to States, and Leaves Millions More Uninsured Center on Budget and Policy Priorities Nov. 30, 2016

Everything You Need to Know About Block Grants: The Heart of GOP’s Medicaid Plan Kaiser Health News Jan. 27, 2017

Per Capita Caps in Medicaid — Lessons from the Past The New England Journal of Medicine Feb. 1, 2017

GOP Medicaid Funding Proposals Could Save $150 Billion, Analysis Finds Morning Consult Feb. 6, 2017

How Would Republican Plans for Medicaid Block Grants Actually Work? The Incidental Economist Feb. 9, 2017

GOP may boost Medicaid spending in order to slash the program Politico Feb. 15, 2017