✦ Key Provisions (Plain Language)
Section 1 — Eligibility Threshold Change
Reduces the Medicaid income eligibility threshold from 138% of the Federal Poverty Level (FPL) to 100% FPL for non-elderly, non-disabled adults. Effective 90 days after enactment with no transition period.
Section 2 — State Funding Impact
States that choose to maintain coverage for populations between 100-138% FPL must fund the full cost without federal matching. Projected to cost Massachusetts $800M annually.
Section 3 — Savings Allocation
Federal savings estimated at $2.1 billion annually, directed to deficit reduction. No reinvestment into alternative coverage programs.
Active Amendments
SA.412 — Warren (D-MA) · In Committee
18-month transition period before coverage loss takes effect
SA.389 — Collins (R-ME) · Floor Consideration
Exempts states that expanded Medicaid under the ACA from coverage changes
SA.401 — Cassidy (R-LA) · Sponsor Amendment
Adds means-testing for existing Medicaid beneficiaries over 65