The Congressional Budget Office’s (CBO’s) just-unveiled estimate that 22 million more Americans would be uninsured over the next decade under the U.S. Senate’s health care bill is, in a word, devastating. The legislation, the Better Care Reconciliation Act of 2017 (BCRA), would cut Medicaid by $772 billion over the same period.
Any minor adjustments to the bill that the U.S. Senate makes prior to the vote expected vote this week will not change the destructive, major provisions of the legislation — eliminating Medicaid expansion and cutting and capping Medicaid.
By cutting Medicaid and converting to a per capita cap system, the Senate bill would also effectively transfer billions of Medicaid costs and risks to Florida. Florida already has one of the most restrictive Medicaid eligibility requirements and one of the lowest rates of insured residents in the nation, and a per capita cap system would only make this worse.
The legislation would have particularly negative consequences for Florida for a number of reasons. Fifty-seven percent of children in the state’s rural areas and small towns and 44 percent in metro regions — roughly 2 million — are covered by Medicaid, and over 800,000 low-income Medicare beneficiaries in Florida receive Medicaid to cover critical services not covered by Medicare. Further, the capped federal funding structure would severely impede the state’s ability to respond to crises like an economic recession, Zika or natural disasters.
Massive health care reform legislation must be discussed in the public arena, with the opportunity for experts and constituents to weigh in. Unlike the bill it seeks to replace, the ACA, this legislation was crafted with no public hearings or input, which is made apparent by the bill’s failure to protect Americans from losing what is, in many cases, life-savinghealth care coverage. The U.S. Senate should instead work on improving the ACA, as Florida has made impressive gains in increasing its rate of insured residents in the past few years.
Senator Bill Nelson has been vocal in his opposition to this very bad piece of legislation. We ask that Senator Marco Rubio now follow suit and reject the BCRA.