Medicaid changes opposed by ACSA

Although Medicaid is often thought of as a program for low-income people, that does not paint the entire picture. More than 74 million people are enrolled in Medicaid, and about 40 percent of Medicaid spending goes to disabled persons.

President Trump wants to change the entire system to one of block grants to states. The problem is that block grants have difficulty keeping up with rising costs. One study by the Center on Budget and Policy Priorities of a GOP proposal last year similar to Trump’s plan stated Medicaid funding would be dramatically cut by one-third over the next 10 years.

ACSA and the California School Boards Association have drafted a letter to policy-makers in Washington, D.C. voicing opposition to the proposed Medicaid changes in the Trumpcare plan.

The two associations voice their strong opposition to changes to Medicaid financing on a per capita model, placing limits on enrollees in regard to federal payments to states. This proposal stands to cut funding by as much as 35 percent.

The letter points out this “will have a devastating impact on the ability of California school districts to serve disabled and low-income students.”

The cuts would not only affect the ability of schools to provide services to the most vulnerable student population, but it would create difficulty for schools to meet the requirements of the Individuals with Disabilities Education Act.

“Additionally, tens of thousands of California kids will lose access to school-based Medicaid services that offer vitally important services such as immunizations, asthma and diabetes treatments, and vision and hearing screenings.”

This, the associations note, would also provide disruptions to the education of other students and negatively affect the broader public health.

For more information on ACSA Governmental Relations, please go to

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