Republicans could be adding $200 billion in federal funding to the Better Care Reconciliation Act (BCRA) to offset Medicaid expansion coverage losses that would result from provisions of the bill. Building off our previous analysis of the cost and coverage effects of BCRA, we estimate the 2022 costs of enrolling the Medicaid-expansion population in BCRA-compliant Marketplace coverage and providing “wrap” benefits that would cover the premiums and cost-sharing requirements associated with that coverage. These estimates are provided for each of the 31 Medicaid expansion states plus the District of Columbia and are summed to provide a benchmark for understanding how far $200 billion would go toward financially protecting this population. In addition to estimates for 2022, we estimate the number of years these benefits could be financed with the $200 billion being considered.
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