With Congress proposing fundamental changes to the financing structure of Medicaid through creation of a per capita cap, Manatt Health examines the implications for Medi-Cal.
Establishing a Per Capita Cap in Medicaid: Implications for California (452 K)
Note: The Senate released new language for BCRA on July 13. However, it did not make any significant changes to the per capita cap financing methodology proposed in the June 22 version of the bill. Therefore, this analysis remains valid.
Manatt Health estimates the fiscal impact of a per capita cap on Medi-Cal, California's Medicaid program, based on the Senate's June 22 Better Care Reconciliation Act (BCRA). Manatt also describes the cap in detail, outlines operational issues and challenges created by the cap, and reviews the choices available to California if the cap is established.
Key findings include:
This analysis does not examine the impact of other BCRA provisions, including changes to the federal match for the state's expansion population.
Read the full analysis, which is available under document downloads.
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