While US Senators Thom Tillis and Richard Burr are enjoying their Fourth of July recess, children, working families, veterans, older adults, and people with disabilities are worried that the Senate health care bill — known as the Better Care Reconciliation Act (BCRA) — will cut their access to health coverage and care.
What is perhaps most troubling about the BCRA are the massive cuts it proposes to Medicaid. The Congressional Budget Office released an addendum to its original report showing that by 2036 federal funding for Medicaid will be 35 percent lower under the plan. There is already lots of in-depth analysis proving how Medicaid matters to our most vulnerable North Carolinians, the state budget, health care workers, and education, but a recent piece that has gained national attention proves that Medicaid matters to mothers.
Specifically, North Carolina’s Medicaid program has been especially important to addressing the longstanding gap between white and black maternal mortality. Even though North Carolina is not an unusual health outcome performer, it is unique in that it has managed to close the maternal death gap between black and white mothers. Community Care of North Carolina works through Medicaid to provide “Pregnancy Medical Homes” so that women who may experience stressors or other risks to a healthy pregnancy and delivery have access to resources and supports to lower those risks.
The success of this Medicaid initiative has actually helped North Carolina improve maternal mortality to the point that is closer to the national average. As Senators Tillis and Burr mull the Senate health care bill, they should also think about efforts state administrators and lawmakers are taking and should be taking to address social determinants of health and reduce health disparities. The state’s latest Medicaid reform waiver application, which has been submitted to the feds for approval, proposes significant improvements in this realm. Unfortunately, If the Senate approves on a bill that includes cuts to Medicaid that will reach $772 billion by 2026, achievements like reducing the maternal death gap will be hard to come by.