By NextBestFitPhase 0: Preparation · Step 0.1
Set each state's contribution
Months −16 to 0 · HHS / Treasury / statesDiscuss this step
States currently pay $335.0B for Medicaid. Under a national program that money keeps flowing as a maintenance-of-effort (MOE) payment, so states pay what they paid before while the national program takes over the care.
Legal vehicle
Federal–state financing agreement, modeled on the Medicare Part D state contribution.
Who does it
HHS / Treasury / states
When
Months −16 to 0
In this step
Tasks
4 tasks
Costs & calculations
2 cost items, each with its calculation
Trade-offs
2 pros · 2 cons · 1 trade-offs
Risks
1 risks with mitigations
What changes in the system
2 existing laws, programs, or institutions changed
Other countries
3 comparisons
Cost items
- State Medicaid share → UHP maintenance-of-effort payment$345.7B
- State & local government budgets$146.8B
Depends on
Nothing: this step can start first.
Steps that depend on this one
Sources: U.S. Supreme Court (2012)