What Happens If Republicans Repeal Without A ‘Replace’?

Ryan, Price, Trump, and colleagues propose to take all of that away.  They would take away both the federal expansion funds and the legal authority for states that want to expand. Their “replace” proposal, still behind curtains, is probably going to try to change the way all of Medicaid is funded, from the matching program in place since 1965, to “block grants” to states or “per capita” limits, under which the federal government would simply give a fixed amount of money to each state. The intent is to reduce federal Medicaid funding. The caps would be set at levels below what Medicaid is expected to cost, and disparities in coverage among states would be locked in. States would end up holding the bag as, say, needs changed or a recession occurred. Over the next decade, federal Medicaid payments would fall by 1 trillion dollars, and 14.5 million people would lose coverage by 2021.