this post was submitted on 20 Jun 2025
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[–] [email protected] 8 points 6 days ago (1 children)

The Senate Finance Committee’s reconciliation text includes a provision that would lower provider taxes from 6% to 3.5% by 2031 for states that have expanded Medicaid under the Affordable Care Act. For states that do not have an expansion population, the bill would place a moratorium on new or increased provider taxes. That means states wouldn’t be able to increase their provider taxes but can keep them at the levels they are even if they are higher than 3.5%. A big shift in provider taxes and the ability to control those taxes would put states in a difficult position, forcing them to either make cuts to benefits or eligibility or find other financing options in their state budgets to cover the cost themselves, the health policy experts told TPM. And if they can’t find a way to replace the money they make from provider taxes — which experts say many states would struggle with — millions will lose access to healthcare.

[–] [email protected] 2 points 5 days ago

Can they make it opt-in? I'll gladly continue to pay State Medicaid taxes.

I have extra money since I stopped paying federal taxes 🤷‍♂️