Block-Granting Medicaid: The Essential Facts

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Repealing and replacing the Affordable Care Act have been at the center of Republican health care efforts advanced since the November election. But a proposal that’s received far less discussion could have equally far-reaching consequences for millions of Americans: turning Medicaid into a block grant program.

For the first in our new series of explainers on key health reform alternatives being considered by the new administration and Congress, we break down for you what block-granting Medicaid is all about. We look at how this major shift departs from current policy and what the evidence says about the likely impact on lower-income Americans, access to health care, and state budgets.

Look out for future explainers on high-risk insurance pools, health savings accounts, privatizing Medicare, and more.

You can find more Commonwealth Fund publications on Medicaid's successes and the impact of repeal on our ACA Repeal Debate resource page. Read the explainer