Amid Federal Health Changes, Oregon Experts Assure: Medicare Coverage Remains Stable for the Future

Health care advocates in Oregon are overwhelmed with inquiries from people eager to grasp the implications of recent federal law changes on social services, particularly regarding health coverage.

A significant point of confusion centers on Medicare, the federal program for seniors and certain disabled individuals, which serves approximately a million Oregonians. The One Big Beautiful Bill Act, passed by Congress in July, aims to cut nearly a trillion dollars from Medicaid over the next decade. This program, crucial for low-income residents via the Oregon Health Plan, is primarily funded through a mix of federal and state dollars.

Experts indicate that changes to Medicare are not as drastic. However, beginning in January 2027, some refugees and immigrants will lose eligibility for Medicare. Additionally, the Act modifies a Biden-era rule that enabled the federal government to negotiate prices for select drugs starting in 2026, limiting this benefit further.

Maggie Hudson, CEO of Santiam Hospital, expressed concern about the uncertainty surrounding which specific Medicare services might be affected. For now, Oregonians who qualify for Medicare will see no immediate changes. Despite this, the new law could lead to substantial cuts to the program starting in 2026.

Sara Campos from the Oregon Department of Human Services reassured that the state’s role in Medicare remains minimal. They primarily manage a program that helps low-income individuals afford Medicare. However, hospitals in Marion County heavily rely on Medicare funding, with over a third of patients at Salem Health and Santiam Hospital covered by it.

A recent report from the Congressional Budget Office predicts almost $500 billion in potential Medicare funding losses nationwide between 2027 and 2034. If Congress increases the federal deficit, Medicare spending could drop by up to 4% annually, which would adversely affect healthcare providers and possibly lead to fewer doctors accepting Medicare patients.

The changes pose particular concerns for individuals enrolled in both Medicare and Medicaid. CBO estimates suggest that 1.3 million Americans, many of whom are seniors or disabled, might lose Medicaid coverage. This would leave them solely reliant on Medicare, which doesn’t cover all necessary services, especially long-term care.

Oregon Health Authority estimates indicate that about 200,000 residents could lose Medicaid. These adjustments may lead to more frequent eligibility checks, risking coverage for those who miss paperwork. As Hudson noted, loss of Medicaid coverage could lead to dire consequences for seniors reliant on long-term care.

Breanna Conklin, whose husband benefits from both Medicare and Medicaid for necessary medications, articulated her fears. The financial burden of his treatment could become unmanageable without Medicare coverage.

Nursing professional Scott Palmer suggests that individuals start preparing for these possible changes. He encourages open discussions with health insurance providers and advocates to understand their options.

In summary, while the full impact of the new legislation is still unfolding, the potential consequences for Oregonians concerning their Medicare and Medicaid coverage are concerning. Those affected should remain informed and proactive about their healthcare options.

For more detailed reports, visit the Congressional Budget Office for insights on health funding.

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