Quote:
Originally Posted by TheMercenary
FMAP is not just Medicaid.
Nevada is 50.16 percent paid by the Fed.
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Right.
The FMAP formula is used to determine state/federal shares for more than just Medicaid.
More on FMAP and the federal share of Medicaid costs, if anyone really cares:
http://www.nhpf.org/library/the-basi...P_01-15-09.pdfThe statute establishes a minimum FMAP of 50 percent for states, stipulating that no state shall bear more than 50 percent of total costs, regardless of the result of applying the formula. Thirteen states have FMAPs equal to the 50 percent floor in FY 2009. The statute also contains an upper FMAP limit of 83 percent.
Adding a few more million Nevada residents to be eligible for Medicaid would probably put the state cost-sharing percentage over 50% UNLESS the federal share pays 100% for those newly added millions...at least in the short term.
I dont see where Reid did anything wrong here for Nevada and 2-3 other states that are at the state limit on cost-sharing. In fact, I dont know why he didnt include all 13-14 states already at the 50% match, unless there are specific demographic differences among these states that make the fiscal impact of providing Medicare eligibility to more residents significantly greater on some of those states than others.