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How the American Health Care Act Alters Medicaid’s Federal–State Partnership

The American Health Care Act radically restructures Medicaid’s federal financing system that has been in place for a half-century. In a Commonwealth Fund—supported post on the Health Affairs blog, George Washington University’s Sara Rosenbaum says that along with ending support for the ACA’s expansion of adult eligibility, the bill would shift an estimated $370 billion in financial risk to the states over the coming decade.

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