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Health & Welfare committee briefed on Vermont Medicaid spending, FMAP and Green Mountain Care Board; clerk nomination approved
Summary
Committee received a briefing on Medicaid spending, the federal medical assistance percentage (FMAP), the global commitment waiver and the role of the Green Mountain Care Board; members also approved a clerk nomination by voice vote.
Nolan, the meeting’s witness and presenter, told the Vermont Senate Health & Welfare Committee that total health spending for Vermonters across Medicare, Medicaid and out-of-pocket costs was about $6.4 billion in 2020 and that he estimates it is “probably over $8,000,000,000 today.”
He said Medicaid is one of the state’s largest spending categories and described how federal matching dollars affect state costs: “When you see the budget presented to you, this is our current FMAP. It's 58.81%, which means that the state share is 41.2%. But translated, that means for every dollar for every general fund or state dollar that we spend on Medicaid, we're getting a dollar 43 federal…
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