The leader of the Washington state House of Representatives said the quiet part out loud this week: lawmakers should brace for a special session if Congress slashes funding for Medicaid, the health care program for lower-income Americans.
“We’re on a plan to finish our work by Sine Die. If they just decimate Medicaid, there’s no way to plan for that,” House Speaker Laurie Jinkins, D-Tacoma, told reporters last week. Such a move, she said, would put Washington and the rest of the country “in completely uncharted territory.”
The Republican-led U.S. House passed a budget last week that assumes an extension of the 2017 tax cuts and $880 billion in reduced spending from an array of programs that include Medicaid and Medicare.
If the federal government pares back its Medicaid spending, it could force states to pick up the tab. Rural hospitals would be affected too as they rely heavily on Medicaid and Medicare dollars.
What Washington gets in federal Medicaid support
For Washington, backfilling the potential cuts could amount to several billion dollars a year depending on what the state would want to cover and could afford to pay for.
Washington received more than $12.5 billion in federal Medicaid funding in the 2023 fiscal year, according to U.S. Sen. Maria Cantwell, D-Washington. Total spending in the state operating budget was on track to be around $37 billion this fiscal year.
U.S. Sen. Patty Murray, D-Washington, with whom Jinkins spoke recently, last week outlined several potential consequences of Medicaid cuts.
For example, if the federal government stops providing matching funds to states like Washington that expanded Medicaid under the Affordable Care Act, it would force Washington to spend $2.8 billion to maintain coverage for about 647,000 people.
With so much uncertainty, Jinkins said no state can plan for what might occur.
“The way that we’re thinking about this is: What do we need to do to balance our budget, and know there’s the potential that there are Medicaid implications to that?” she said.
As to adjourning on schedule, she said, “I really don’t know where we’ll be should the federal cuts happen.”
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