Medicaid is a state and federally funded program that covers 3 million low income and disabled Ohioans. The feds typically pick up 60 percent of the cost but covers 100 percent for those currently enrolled under the expansion, though that enhanced match drops to 95 percent next year.
State Rep. Ryan Smith, R-Bidwell, said Ohio cannot sustain expanded Medicaid without the federal money that comes with it.
Keen said he doesn’t know what will happen if Congress dismantles Obamacare. “I do not know. Repeal and replace. What is the replace?” he said.
State Sen. Mike Skindell, D-Lakewood, said Congress may change Medicaid to a block grant program – where states get chunks of money and authority to decide how to best spend it on health care for the poor. But no one has a clue about how much money Ohio would receive or what kind of restrictions might come with it, he said.
Keen said “We would take a ‘per member per month’ block grant if appropriately set up and if it gives us the flexibility to better manage our program. That’s what a lot of the Republicans are talking about. The devil is in the details.”
The Kasich administration is expected to unveil its 2-year state budget proposal at the end of January. All told, the budget is about $60 billion a year, of which $25 billion is Medicaid.