baby

In California, Florida and Illinois 50% of all babies are born on Medicaid

Terence P. Jeffrey in his March 24th, 2017 column In 24 States, 50% or More of Babies Born on Medicaid; New Mexico Leads Nation With 72% writes:

In 24 of the nation’s 50 states at least half of the babies born during the latest year on record had their births paid for by Medicaid, according to the Kaiser Family Foundation.

New Mexico led all states with 72 percent of the babies born there in 2015 having their births covered by Medicaid.

[ … ]

In California, Florida and Illinois, for example, 50 percent of all babies were born on Medicaid in the latest year on record.

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According to the Kaiser Family Foundation (KFF) report Implementing Coverage and Payment Initiatives: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2016 and 2017:

Medicaid has become one of the nation’s most important health care programs, now providing health insurance coverage to more than one in five Americans, and accounting for over one-sixth of all U.S. health care expenditures. [Emphasis added]

The KFF report concludes that, “Medicaid programs now play a significant leadership role in the health care systems in every state.”

Kaiser Family Foundation published a map showing the percentage of babies by state who are born on Medicaid:

babies born medicaid by state

You may view a chart with the details of each states births paid for by Medicaid by clicking here.

american_health_care_actMedicaid reform is much needed and will be part of the next version of the House of Representatives American Health Care Act (AHCA). The AHCA website lists 8 Need-To-Know Facts About the AHCA, one of which addresses Medicaid:

6. Modernizes and strengthens Medicaid by transitioning to a “per capita allotment” so states can better serve the patients most in need.

KFF gave this analysis of “per capita allotment” contained in a previous House Republican Healthcare Plan:

The House Republican Plan (“A Better Way”) released on June 22, 2016, includes a proposal to convert federal Medicaid financing from an open-ended entitlement to a per capita allotment or a block grant (based on a state choice).

This proposal is part of a larger package designed to replace the Affordable Care Act (ACA) and reduce federal spending for health care.  Often tied to deficit reduction, proposals to convert Medicaid’s financing structure to a per capita cap or block grant have been proposed before.

Such changes represent a fundamental change in the financing structure of the program with major implications for beneficiaries, providers, states and localities.

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There was a time in America when babies were paid for by their families. Perhaps it is time for government to get out of the baby funding business and let families take control?

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