Fact Check: Biden-era Medicaid regulations could lose funding, risking $23 billion over 10 years
What We Know
Recent discussions surrounding Medicaid funding have highlighted potential cuts resulting from new legislative measures. According to a report from the Kaiser Family Foundation, the Congressional Budget Office (CBO) estimates that the proposed One Big Beautiful Bill Act would lead to a reduction in federal Medicaid spending by approximately $793 billion over the next decade. This reduction is significant, as it represents about 12% of federal Medicaid spending during this period. The CBO's analysis indicates that the Medicaid provisions within this bill could result in an increase of 7.8 million uninsured individuals and a projected enrollment loss of 10.3 million from Medicaid programs (KFF).
One specific aspect of the legislation is the prohibition of certain Biden Administration rules, which could directly contribute to the projected $23 billion cut in Medicaid funding over ten years (KFF). These rules are aimed at expanding access and coverage under Medicaid, and their potential repeal raises concerns about the stability of Medicaid funding and the implications for beneficiaries.
Analysis
The claim that "Biden-era Medicaid regulations could lose funding, risking $23 billion over 10 years" is grounded in the CBO's estimates and the legislative context of the One Big Beautiful Bill Act. The CBO's analysis is generally regarded as a credible source for fiscal estimates, as it is a non-partisan entity that provides objective assessments of budgetary impacts. However, the interpretation of these estimates can vary based on political perspectives.
The $23 billion figure specifically pertains to the potential impact of the repeal of certain regulations that were implemented during the Biden administration. These regulations are designed to enhance Medicaid's reach and effectiveness, and their removal could indeed lead to significant funding losses. However, it is important to note that the overall $793 billion reduction in Medicaid funding is a broader estimate that encompasses various provisions of the bill, not solely the Biden-era regulations (KFF, KFF).
Moreover, the analysis from the Kaiser Family Foundation highlights the complexity of predicting state responses to federal funding changes. States may react differently to the proposed cuts, which could either exacerbate or mitigate the projected enrollment losses and funding reductions. This variability introduces uncertainty into the estimates provided by the CBO and KFF, making it difficult to ascertain the exact impact of the proposed legislation (KFF).
Conclusion
The claim that Biden-era Medicaid regulations could lose funding, risking $23 billion over 10 years, is Partially True. While the estimate of $23 billion is supported by credible sources and reflects potential funding losses due to the repeal of specific regulations, it is essential to recognize that this figure is part of a larger context of significant federal spending reductions. The complexity of state responses to these changes further complicates the assessment of the overall impact on Medicaid beneficiaries.