Last Thursday, the House Energy and Commerce Subcommittee on Health approved a bill to allow states to cut back Medicaid enrollment. The bill, H.R. 1683, aims to repeal the Medicaid Maintenance of Effort (MOE) requirements established by the stimulus law and the new health care law, which are both extremely important to individuals with intellectual and developmental disabilities and their families. The new health care law Medicaid MOE prevents the states from restricting Medicaid eligibility in advance of the 2014 Medicaid expansion of coverage. The federal government will pay 100% of the increased cost of the new health care law Medicaid expansion for the first 3 years. The stimulus law provided an increased federal Medicaid match in exchange for keeping access to Medicaid for current beneficiaries.
The Arc supports these MOE requirements as they ensure that access to health care and critical long term services and supports are not eliminated. The full Committee and the House are expected to approve the bill, though it will meet significant opposition in the Senate.