FAQ: Obama v. Ryan On Controlling Federal Medicare Spending
Here are some questions and answers about the Democratic and Republican approaches to moderating spending on the popular program, which covers 47 million seniors and disabled people.
The independent source for health policy research, polling, and news.
1,581 - 1,600 of 2,035 Results
Here are some questions and answers about the Democratic and Republican approaches to moderating spending on the popular program, which covers 47 million seniors and disabled people.
Cuts to the state budget leave Medicaid beneficiaries with only basic dental coverage.
Under Ryan's plan, the federal share of Medicaid spending would drop sharply as the program becomes a block grant to states, indexed for inflation and population growth.
As the political campaigns tussle over how to handle the program, KHN examines the ongoing debate.
In letter to governors, HHS Secretary Sebelius urges states to "take advantage of unusually generous" Medicaid expansion deal.
But the rate is almost twice as high in New Jersey, largely because the state pays doctors so little to participate in the program for low-income and disabled residents.
To help balance their budgets, 13 states are cutting Medicaid either by lowering fees paid to medical providers, reducing benefits, or tightening eligibility for the health insurance program for the poor and disabled. Most changes went into effect July 1, though some take effect later this year and some are pending federal approval. Kaiser Health News surveyed the 50 state Medicaid programs:
Under the health law, Medicaid will grow to cover every American with a household income below 133 percent of the federal poverty level. A ruling against the expansion -- or the entire law
The Republican-controlled House, along party lines, twice approved Ryan's proposals to overhaul the popular program by giving beneficiaries a set amount of money every year to buy coverage from competing health plans. That is a fundamental shift from today's program, where the federal government must help pay for every doctor visit and medical service that an individual uses.
The program, designed to save the state money, is the first of its kind because it creates a new category for patients who don't qualify for nursing home care.
'What new law?' ask patients attending a free weekend clinic in rural Tennessee. Few people understood that their future benefits are at stake as the Supreme Court weighs the fate of the federal health overhaul law.
© 2026 KFF