A budget is a statement of priorities and values. House Republicans believe that government should work for the wealthy and well-connected at the expense of everyone else. Chairman Ryan’s budget proposal would put the burden of balancing the budget on the backs of people with disabilities while cutting taxes for millionaires and providing tax subsidies for corporations that outsource jobs. This proposal would end Medicaid as we know it—a lifeline of services and supports to people with disabilities.
• The House Republican budget calls for $1 trillion in cuts to Medicaid and turning it into a block grant to the states. “Block granting” is code for taking away services for seniors, people with disabilities and children.
• Capping the federal share of Medicaid spending, which a block grant would do, means that states will have to pick up more of the tab, or cut services to beneficiaries, as the cost of care increases. With many states already balancing the budget on the backs of people with disabilities, this would make matters worse.
• Over 8.8 million people with disabilities rely on Medicaid for health coverage and funding for service and supports that help them live independent lives as part of their community. For people with developmental disabilities Medicaid is the primary payor of long-term care services.
• Medicaid is one of the most efficient and effective forms of economic stimulus. Every dollar spent results in a multiplier effect that creates jobs and provides a boost to the state economy.
• While Medicaid is often thought of as a program for the very poor, it covers the costs of nearly two-thirds of all nursing home residents.
• The federal government provides about 50% to 75% of a State’s Medicaid budget.
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