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By slashing Medicaid funding by over $800 billion, the AHCA will place tremendous strain on state budget, says Kevin Prindiville, Executive Director of Justice in Aging, a nonprofit advocacy group for low-income seniors. States will be forced to cut services, restrict eligibility, and reduce benefits for seniors, children, people with disabilities, and low-income older adults, he says. Congress isforcing families to pay more out-of-pocketwhen grandparents and other loved ones need nursing home care or home care. Two-thirds of all Medicaid spending for older adults pays for long-term services and supports. The AHCA puts this vital care for seniors in jeopardy, says Prindiville. By passing the ACHA, the House chose to cut taxes for the wealthy and pharmaceutical companies while harming Medicare beneficiaries by increasing Part B premiums and reducing the life of the Medicare Trust Fund, he says. Max Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare calls the AHCA vote appalling for retirees and views the raid of Medicare, cuts to Medicaid among the most problematic parts of the AHCA. Despite the bills name, risking the health of our nations most vulnerable citizens to give the wealthy an $ 600 billion tax cut is tremendouslyuncaring --- and does not reflect real American values, says Richtman. In modifying the original AHCA bill to give reluctant Republicans political cover, the House leadership made a bad piece of legislation even worse, he says. No Protection for Pre-existing Conditions Recent amendments to this cruel, ill-advised bill could put coverage for older Americans with pre-existing conditions like cancer and diabetes out of reach. The $8 billion (over 5 years) added to the legislation at the last minute to defray the cost of higher premiums is woefully inadequate. Its a thin veil that covers a head of snakes, notes Richtman Equally inadequate are the meager tax credits that the GOP bill offers older Americans to buy insurance. A $4,000 annual tax credit doesnt come to close to covering premiums for seniors ages 60-64, meaning millions of older Americans will lose coverage altogether, says Richtman. According to Richtman, AHCA slashes nearly $1 trillion from the Medicaid by converting the social health care program into a block grant program or imposing per capita caps. This would make it harder for impoverished seniors to access long term skilled nursing care and community or home care. Overall, the Congressional Budget Office estimates that 14 million people will be kicked off the Medicaid rolls in the next 10 years if this bill becomes law, he says.

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