The Center for Consumer Engagement in Health Innovation and Leading Age jointly release the report: “Capping Medicaid: How Per Capita Caps Would Affect Long-Term Services & Supports and Home Care Jobs”. It examines factors that would affect states’ abilities to provide long-term services and supports (LTSS) in a per capita cap system. The American Health Care Act’s capped funding would apply a “one-size fits all” formula to Medicaid financing that would not provide states with the flexibility necessary to respond to their unique needs. As home and community based services are an optional benefit in the Medicaid program, they would likely be the first to be cut back, which raises serious concerns for consumers and their families who rely on these essential services.

The report also provides information on how the labor force that provides LTSS would be affected by per capita caps. A shift to per capita caps has the potential to result in significant decreases in home health and personal care aide jobs as there would be fewer resources available to pay these workers, even as the need for their services continues to grow in the years ahead. This analysis estimates that between 305,000 and 713,000 home health and personal care aide jobs would be lost as a result of a shift to Medicaid per capita caps. 

Some additional materials are available if you’d like to promote the report’s findings in your networks. These include:

  • A sample press release with space for you to fit in your state’s projected job loss numbers
  • Social media graphics, including:
  • Sample tweets:
    • New @CCEHI/@leadingage Report: Families would struggle to meet the needs of their older family members if GOP caps Medicaid
    • Medicaid cuts would take the choice out of long-term services & supports for older Americans in [STATE] >> via @CCEHI @LeadingAge
    • Up to [XX] jobs in [STATE] are in jeopardy as long as per capita Medicaid cuts are on the table. #SaveMedicaid

We urge you to look at the impact in your state, share this report with your networks and add your voices to those fighting to protect Medicaid. 

Other resources on the current Medicaid debate can be found on LeadingAge's #SaveMedicaid page.