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Medicaid spending caps in Republican proposal would cut coverage for Florida children

Low-income children in Florida gained Medicaid coverage under the Affordable Care Act despite the state’s refusal to expand eligibility for the public health insurance program, according to a study published Wednesday by the non-partisan Urban Institute, a health policy think tank.

But those gains may end if the American Health Care Act — the Republican-sponsored bill to repeal and replace the health law known as Obamacare — creates spending caps for Medicaid, according to the consulting firm Avalere Health in a separate report this week.

Though the ACA’s coverage provisions primarily focused on uninsured adults, the health law helped increase coverage among low-income children by insuring more of their parents, raising awareness about the mandate to have health insurance, and simplifying enrollment and renewal processes, said Jennifer Haley, an Urban Institute researcher and co-author of the report.


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