How Medicaid Financing Affects Seniors and Disabilities

Medicaid uses federal-state matching, with no preset federal spending limit.
Open-ended financing lets federal funds adjust when enrollment or costs rise.
Pandemics like COVID-19 can boost enrollment, per-capita spending, or both.
States use state-directed payments and provider taxes to draw extra federal match.
HR 1 limits state-directed payments, cutting $149B from Medicaid over 10 yr.

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