How much to cut hospital payments is another Build Back Better battle

Washington Post

November 22, 2021 8:33 am

House Democrats passed President Biden’s sprawling economic package Friday after months of haggling over how expansive the legislation would be. But the changes are far from over.

One possibility: Democrats are discussing making a cut to certain states’ hospital payments last just a few years instead of permanently,according to four people familiar with the situation.

The idea would protect states that get coverage for their Medicaid expansion populations for the first time from hospital funding cuts if lawmakers don’t extend the policy past 2025. The economic package extends health insurance to roughly 2.2 million people living in the mostly GOP-led states that have refused Obamacare’s Medicaid expansion – but the expansion is only guaranteed for a few years.