The Future of Medicaid and CHIP


A new proposal by the House Republicans to replace the Affordable Care Act apparently is in the works but has neither been widely shared among members nor made public.

What we do know is that 304,000 Iowa children have coverage through Medicaid and the Children’s Health Insurance Program (CHIP), and any proposal to turn Medicaid and CHIP into a block grant or per-capita caps would cost the program $1 trillion over the next ten years.

During the Congressional recess last week, I set out to engage Iowa’s members of Congress in a conversation about protecting Medicaid and CHIP for Iowa’s children, describing the concerns we have with potential changes to these programs under an ACA replacement plan.

In Garner, Iowa, Senator Grassley expressed his interest in capping Medicaid with per-capita funding, in which a base year of per enrollee spending would be determined and then increased over time by a pre-set amount.

Congressman Young, when asked by an audience member about the proposal to block-grant Medicaid at his town hall in Des Moines,wasn’t certain yet on the best way to move forward. He expressed doubt about the effectiveness of block grants, in which states would receive a pre-set amount of federal funding for Medicaid.

Now more than ever, we need to stand up for children who are at risk of losing their health insurance if cuts are made to Medicaid or CHIP.

Our members of Congress need to hear from you. Let them know they should hold Medicaid harmless and protect CHIP for the 304,000 Iowa children that have coverage through these programs.

To contact your Senator click here.

To contact your Representative click here.

Let our elected officials hear your voice!

Jill Applegate
Every Child Matters in Iowa