{"id":29857,"date":"2025-06-17T19:53:59","date_gmt":"2025-06-17T19:53:59","guid":{"rendered":"https:\/\/medexperts.pro\/?p=29857"},"modified":"2025-06-18T12:38:51","modified_gmt":"2025-06-18T12:38:51","slug":"the-senate-wants-billions-more-in-medicaid-cuts-pinching-states-and-infuriating-hospitals","status":"publish","type":"post","link":"https:\/\/medexperts.pro\/?p=29857","title":{"rendered":"The Senate Wants Billions More in Medicaid Cuts, Pinching States and Infuriating Hospitals"},"content":{"rendered":"<div><\/div>\n<p id=\"article-summary\" class=\"css-79rysd e1wiw3jv0\">Republicans are seeking to limit a tax loophole that gives states more federal matching funds. Many state budgets could be hurt.<\/p>\n<section class=\"meteredContent css-1r7ky0e\">\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2025\/06\/16\/us\/politics\/senate-bill-medicaid-cuts.html\" title>Senate policy bill<\/a> released Monday would cut billions of dollars more from Medicaid than the earlier, House-passed legislation \u2014 in large part by cracking down on a budgeting maneuver used by 49 states that congressional Republicans have called a <a class=\"css-yywogo\" href=\"https:\/\/roy.house.gov\/media\/press-releases\/rep-roy-statement-house-passage-one-big-beautiful-bill-act-0\" title rel=\"noopener noreferrer\" target=\"_blank\">scam<\/a> or <a class=\"css-yywogo\" href=\"https:\/\/epicforamerica.org\/social-programs\/reconciliation-option-tackling-provider-tax-gimmick-in-medicaid\/\" title rel=\"noopener noreferrer\" target=\"_blank\">gimmick<\/a>.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">It does this by limiting <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2025\/05\/06\/upshot\/medicaid-hospitals-republicans-cuts.html\" title>Medicaid provider taxes<\/a>, a loophole that states use to collect more federal matching funds for Medicaid, an insurance program for the poor that covers roughly <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/interactive\/2025\/02\/27\/us\/politics\/medicaid-enrollment.html\" title>70 million Americans<\/a>.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">For decades, taxing providers like hospitals has been a major part of how states pay Medicaid bills, but this tactic has come under scrutiny in Congress this year as Republicans look for ways to help pay for President Trump\u2019s tax cuts.<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"Dropzone-1\"><\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Cutting provider taxes would probably mean funding shortfalls of hundreds of billions of dollars for states over the next decade, leaving them with budget holes to fill. To offset the losses, states would most likely need to explore cutting other services or raising other taxes.<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"RelatedLinksBlock-3\">\n<div data-testid=\"lazy-loader\"><\/div>\n<\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-2\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">In scaling back Medicaid provider taxes, Senate Republicans are pursuing cuts that their House colleagues were hesitant to propose. House members had landed on freezing provider tax rates at current levels instead of reducing them. If the Senate passes its plan for provider taxes, the House and the Senate will have to reconcile their differences.<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"InteractiveBlock-5\">\n<section data-testid=\"inline-interactive\" id=\"provider-tax-diagram\" data-id=\"100000010148333\" data-source-id=\"100000010148333\" class=\"interactive-content interactive-size-scoop css-1w71maw\">\n<div class=\"css-17ih8de interactive-body\" data-sourceid=\"100000010148333\" id=\"embed-id-100000010148333\">\n<p>    <!-- birdkit: do not modify this file --><\/p>\n<div id=\"g-bk-2qkAaK8X9YUbRg\" class=\"birdkit-body g-bk-2qkAaK8X9YUbRg g-dark-mode-incompatible\" data-preview-slug=\"bk-2qkAaK8X9YUbRg\" data-birdkit-hydrate=\"e154fed3e67dcf2b\">\n<p>\t<!--[--><!--[--><!--&gt;--><!--[--><!--[--><!--&gt;--><\/p>\n<figure class=\"g-wrapper  svelte-dk6paf g-needs-margin-block\"><!--[!--><!--]--> <!--[!--><!--]--> <\/p>\n<div class=\"g-block g-block-margin svelte-rhgw2n\">\n<div class=\"g-block-width g-max-width-740 svelte-rhgw2n\" style=\"max-width: 740px\"><!--&gt;[!--><!--]--> <\/p>\n<div class=\"g-wrapper_main-content svelte-dk6paf g-overflow-visible\"><!--[!--><!--]--> <\/p>\n<div class=\"g-wrapper_main_content_slot svelte-dk6paf\"><!--&gt;[!--><!--&gt;--><!--]-->&lt;!&#8211;&gt;<\/div>\n<\/div>\n<p> [!&#8211;&gt;<!--]-->&lt;!&#8211;&gt;<\/div>\n<\/div>\n<p>&#8211;&gt; <!--[!--><!--]-->&lt;!&#8211;&gt;<\/figure>\n<p>&#8211;&gt;<!--&gt;]--><!--]--><!--&gt;--><!--&gt;]--> <!--[!--><!--]--><!--]--><\/p><\/div>\n<\/div>\n<footer id=\"interactive-footer\" class=\"css-16hdkb3 interactive-footer\">\n<p data-testid=\"note\" id=\"interactive-notes\" class=\"css-cudxsp interactive-notes\">Note: States pay different shares of Medicaid costs. This example illustrates when a state pays 40 percent, a common scenario.<\/p>\n<p data-testid=\"credit\" id=\"interactive-credit\" class=\"css-cudxsp interactive-credit\">The New York Times<\/p>\n<\/footer>\n<\/div>\n<\/div>\n<\/figure>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<div data-testid=\"InteractiveBlock-6\">\n<section data-testid=\"inline-interactive\" id=\"provider-tax-map\" data-id=\"100000010148332\" data-source-id=\"100000010148332\" class=\"interactive-content interactive-size-scoop css-1w71maw\">\n<div class=\"css-17ih8de interactive-body\" data-sourceid=\"100000010148332\" id=\"embed-id-100000010148332\">\n<p>    <!-- birdkit: do not modify this file --><\/p>\n<div id=\"g-bk-2qkAaK8X9YUbRg\" class=\"birdkit-body g-bk-2qkAaK8X9YUbRg g-dark-mode-incompatible\" data-preview-slug=\"bk-2qkAaK8X9YUbRg\" data-birdkit-hydrate=\"973cc9b40aa727e1\">\n<p>\t<!--[--><!--[--><!--&gt;--><!--[--><!--[--><!--&gt;--><\/p>\n<figure class=\"g-wrapper  svelte-dk6paf g-needs-margin-block\"><!--[!--><!--]--> <!--[!--><!--]--> <\/p>\n<div class=\"g-block g-block-margin svelte-rhgw2n\">\n<div class=\"g-block-width g-max-width-body svelte-rhgw2n\"><!--&gt;[!--><!--]--> <\/p>\n<div class=\"g-wrapper_main-content svelte-dk6paf g-overflow-visible\"><!--[!--><!--]--> <\/p>\n<div class=\"g-wrapper_main_content_slot svelte-dk6paf\"><!--&gt;[!--><!--&gt;--><!--]-->&lt;!&#8211;&gt;<\/div>\n<\/div>\n<p> [!&#8211;&gt;<!--]-->&lt;!&#8211;&gt;<\/div>\n<\/div>\n<p>&#8211;&gt; <!--[!--><!--]-->&lt;!&#8211;&gt;<\/figure>\n<p>&#8211;&gt;<!--&gt;]--><!--]--><!--&gt;--><!--&gt;]--> <!--[!--><!--]--><!--]--><\/p><\/div>\n<\/div>\n<footer id=\"interactive-footer\" class=\"css-16hdkb3 interactive-footer\">\n<p data-testid=\"note\" id=\"interactive-notes\" class=\"css-cudxsp interactive-notes\">Source: The Hilltop Institute<\/p>\n<p data-testid=\"source\" id=\"interactive-source\" class=\"css-cudxsp interactive-source\">This map underestimates the effect of provider taxes in the Dakotas, which tax other health care providers, and North Carolina, which recently made major policy changes.<\/p>\n<p data-testid=\"credit\" id=\"interactive-credit\" class=\"css-cudxsp interactive-credit\">The New York Times<\/p>\n<\/footer>\n<\/div>\n<\/div>\n<\/figure>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<div data-testid=\"Optimistic-7\">\n<div class=\"css-kbghgg\">\n<div class=\"css-121kum4\">\n<div class=\"css-171quhb\"><\/div>\n<div class=\"css-asuuk5\">\n<div class=\"css-7axq9l\" data-testid=\"optimistic-truncator-noscript\">\n<div data-testid=\"optimistic-truncator-noscript-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\" data-tpl=\"t\">We are having trouble retrieving the article content.<\/p>\n<p class=\"css-3kpklk\" data-tpl=\"t\">Please enable JavaScript in your browser settings.<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1dv1kvn\" id=\"optimistic-truncator-a11y\">\n<hr \/>\n<p>Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0<a href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F06%2F17%2Fupshot%2Fmedicaid-cuts-republicans-senate.html&amp;asset=opttrunc\">log into<\/a>\u00a0your Times account, or\u00a0<a href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F06%2F17%2Fupshot%2Fmedicaid-cuts-republicans-senate.html\">subscribe<\/a>\u00a0for all of The Times.<\/p>\n<hr \/>\n<\/div>\n<div class=\"css-1g71tqy\">\n<div data-testid=\"optimistic-truncator-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\" data-tpl=\"t\">Thank you for your patience while we verify access.<\/p>\n<p class=\"css-3kpklk\" data-tpl=\"t\">Already a subscriber?\u00a0<a data-testid=\"log-in-link\" class=\"css-z5ryv4\" href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F06%2F17%2Fupshot%2Fmedicaid-cuts-republicans-senate.html&amp;asset=opttrunc\">Log in<\/a>.<\/p>\n<p class=\"css-3kpklk\" data-tpl=\"t\">Want all of The Times?\u00a0<a data-testid=\"subscribe-link\" class=\"css-z5ryv4\" href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F06%2F17%2Fupshot%2Fmedicaid-cuts-republicans-senate.html\">Subscribe<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Republicans are seeking to limit a tax loophole that gives states more federal matching funds. Many state budgets could be hurt.The Senate policy bill released Monday would cut billions of dollars more from Medicaid than the earlier, House-passed legislation \u2014 in large part by cracking down on a budgeting maneuver used by 49 states that congressional Republicans have called a scam or gimmick.It does this by limiting Medicaid provider taxes, a loophole that states use to collect more federal matching funds for Medicaid, an insurance program for the poor that covers roughly 70 million Americans.For decades, taxing providers like hospitals has been a major part of how states pay Medicaid bills, but this tactic has come under scrutiny in Congress this year as Republicans look for ways to help pay for President Trump\u2019s tax cuts.Cutting provider taxes would probably mean funding shortfalls of hundreds of billions of dollars for states over the next decade, leaving them with budget holes to fill. To offset the losses, states would most likely need to explore cutting other services or raising other taxes.In scaling back Medicaid provider taxes, Senate Republicans are pursuing cuts that their House colleagues were hesitant to propose. House members had landed on freezing provider tax rates at current levels instead of reducing them. If the Senate passes its plan for provider taxes, the House and the Senate will have to reconcile their differences.<\/p>\n","protected":false},"author":1,"featured_media":29859,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"class_list":["post-29857","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/29857","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=29857"}],"version-history":[{"count":2,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/29857\/revisions"}],"predecessor-version":[{"id":29860,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/29857\/revisions\/29860"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/media\/29859"}],"wp:attachment":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29857"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29857"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}