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Gop health care bill will delay the rollback of medicaid expansion to at least 2023. but millions of americans may lose coverage sooner than that. many states won't have the money to keep the program running. it has to do with the federal match rate. the expansion covers 11 million low-income adults in 31 states. the government covers 90% of the cost. a higher rate than for traditional participants. here's the thing, medicaid has a huge churn rate. if adults drop out, they have to re-enroll at the lower traditional rate. that's where states run into problems. at least eight have rules that end...

Traditional participants. but medicaid has a huge churn rate. if adults drop out, they have to re-enroll at the lower traditional rate, and that's where states wind up running into problems. at least eight have rules that end the expansion early if the match rate drops below 90%. many others say they would have to freeze the program if federal support decreases. medicaid is the biggest source of federal funding for many states. cutting the expansion helps reduce medicaid spending by at least $800 billion over the next ten years. it's why you're seeing this push to phase it out because you're s...

Market was raft r crafted. some got pushed onto medicaid. they said 100%. in my state if you're aged, blind, disabled, do you know what the match rate is? the federal government says we'll pay 63%, in other states it's 50%. that's the moral question. should we spend 100% or 90% at the end of this ten-year window on able bodied adults, or should we shift that and try and put money into the age, blind and disabled. we said, for example. seniors in nursing homes, we'll pay not only cost of medical inflation, but cost of medical inflation plus one. we heard from people saying that's a more expensi...

Wait! [ garth ] great businesses deserve great rewards. [ male announcer ] the spark business card from capital one. choose unlimited rewards with double miles or 2% cash back on every purchase, every day! what's in your wallet? [ cheers and applause ] tom berwick who used to run cms implementing the affordable care act. there was something you wanted to say before break. >> yeah, you were talking about gaming, and i wanted to point out one subtle thing around the fiscal cliff, i think the states are watching right now to see if this administration is going to stand behind the medicaid porti...

Medicaid expansion. it will be rolled back but in a much more gradual way than is expected in the house bill. they cut it off in 2020. the senate won't give the process until 2021. white house staffers were briefed on the bill last night here on capitol hill. and i spoke to mark short, the white house legislative director, as he was leaving the meeting. he stopped short of saying the president is ready to endorse there bill, but he did say in his mind we are all one step closer to ending the nightmare that is obamacare. it will be a busy day up here on capitol hill. >> okay. thank you very muc...