In writing the letter, they’re expressing some of the same worries as Ohio Gov. John Kasich, R-Ohio, who fought for Medicaid expansion in the bill and has argued that any repeal and replacement of the 2010 Affordable Care Act must protect those who received Medicaid under the expansion. He said among those who have been helped by the expansion are those who are fighting opioid addiction. Medicaid is the largest payer of mental health and substance use services in the United States.
“We believe Medicaid needs to be reformed, but reform should not come at the cost of disruption in access to health care for our country’s most vulnerable and sickest individuals,” the senators wrote. “Any changes made to how Medicaid is financed through the state and federal governments should be coupled with significant new flexibility so they can efficiently and effectively manage their Medicaid programs to best meet their own needs.”