Thanks to massive grassroots mobilization efforts, our state narrowly averted disaster when Congress failed to pass any version of Affordable Care Act (ACA) repeal that would have restructured Medicaid and left thousands of my constituents without health care coverage.

Stopping health care repeal was a huge victory, but the fight is not over yet. Even deeper cuts to Medicaid have been proposed in the 2018 budget resolution, which would slash health care by $1.5 trillion over the next 10 years to pay for billions in tax breaks to the rich and corporations over that same period.

I worry that these cuts would not only have a devastating impact on families in my district but that they would have dangerous long-term consequences for state budgets and our local economy. Medicaid represents the single largest source of federal funding to our state. Loss of that funding because of federal caps, block grants and cuts would shift costs back to Maryland, creating a tremendous burden for our state budget. Moreover, Medicaid cuts would put health care in competition with other key priorities like public education, transportation and housing.

In 2015, Maryland received $5.7 billion in federal Medicaid funding. Per capita caps would gradually shrink that amount, forcing states like ours either to find alternative sources of funding, cut coverage and services for enrollees, or cut other state-funded services to free up resources for health care.

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Medicaid cuts shift burdens to states – Baltimore Sun