Universal HealthcareBy NextBestFit
Phase 0: Preparation · Step 0.1

Set each state's contribution

Months −16 to 0 · HHS / Treasury / statesDiscuss this step
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Task 0.1.1 of 4

Compute each state's MOE: its 2024 Medicaid + CHIP + Medicare buy-in spending, indexed to per-capita national health spending growth.

Who does it
CMS OACT
When
Month −16
Trade-off

Indexing MOE to national per-capita growth is predictable but ignores states' different demographic trends.

Part of: Set each state's contribution

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.

This step changes 2 existing laws, programs, or institutions. See the list.