By NextBestFitMedicare Savings Programs & Part D Low-Income Subsidy
endsYear 1Federal programs
Today
Means-tested help paying Medicare premiums and cost sharing; complex enrollment, low take-up.
Under the plan
End: nothing left to subsidize.
Trade-off
Removes a means test that many eligible people never navigated.
Money
- Federal Medicare buy-in premiums for dual eligibles$16.1B → $16.1B
- State Medicaid share → UHP maintenance-of-effort payment$345.7B → $345.7B