Congressman Collins proposes “Medicaid Local Share Limitation” amendment to American Health Care Act

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President Trump made the short drive up Pennsylvania Avenue to personally lobby House Republicans to get on board with the Republican plan to repeal and replace the Affordable Care Act.

GOP leaders announced four changes to the bill, including:

  • A freeze on Medicaid expansion
  • A state option to require some Medicaid recipients to work
  • Tax credits to uninsured and low-to-mid income people
  • Prohibits the use for insurance plans that provide abortion services

President Trump was blunt with Republicans, saying they will lose their seats in the 2018 elections if they don’t follow through with a repeal of the Affordable Care Act. 

Democratic leaders say the changes to the Republican Health Care Bill aren’t good enough. They say they can’t support a plan that would lead to 24 million people losing their health insurance. 

Congressman Chris Collins introduced a proposed amendment to the American Health Care Act this past weekend. It’s called “Medicaid Local Share Limitation” proposal. It would bar federal reimbursements for State Medicaid funds raised from local governments, which could, in turn, lower property taxes. 

New York State currently raises $7 billion from its counties- the largest amount in the nation- to fund its $27 billion Medicaid liability. 

Many Democrats have expressed their concern over the amendment, saying the reduction in Medicaid spending will have a significant impact on funding for nursing homes, home care, and hospitals. They say this will put seven million New Yorkers at risk. 

“For years, Monroe County residents have been saddled by the crippling burden of mandates coming out of Albany,” said Brett Walsh, Communications Director for Monroe County. “This burden was caused in no small way by the $175 million in annual Medicaid cost borne by local property taxpayers. This proposal returns financial responsibility for Medicaid back to the State which decides both the benefits and the costs of the program.  Mandate relief is a welcome measure for Monroe County taxpayers.”

“I strongly oppose the backroom deal made by Representative Collins,” said Congresswoman Louise Slaughter. “It is a gimmick, and nothing more than pure political cover for wavering New York Republicans that know the Republican healthcare plan would devastate our state, especially upstate rural areas. The overall Medicaid plan would cost New Yorkers billions of dollars of lost federal funds and jeopardize hospital stability. Shifting the local cost share to the state is a political sleight of hand – if Republicans steal billions from New York to pay for tax cuts for the wealthy it doesn’t matter if taxpayers have to cover the cost at the county or the state level. Either way, Congressional Republicans are proposing New Yorkers pay for their terrible plan, and with this amendment, they would be sending our state a $4.7 billion bill. If Representative Collins thinks that’s a good deal, he’s not a very good businessman or representative for our state.”

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