Should the current expansion states drop the expansion, the report said eliminating the match rate could reduce total enrollment by 19 percent across the 40 states with expanded coverage.
If they drop the expansion coverage in response to the elimination for the 90 percent federal match rate, there would be a 25 percent decrease in federal Medicaid spending, KFF said.
The current Medicaid expansion match rate is 90 percent, meaning the federal government pays 90 percent of the costs for enrollees for those who qualify.
Elimiating the rate could reduce total enrollment by between 19 and 49 percent] However, others, such as Texas Rep. Tony Gonzales, are breaking with Trump and House Speaker Mike Johnson on the issue.
To reduce Medicaid spending, lawmakers are considering eliminating the expansion match rate.
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