Families USA--a nationwide group working for high-quality and affordable healthcare--has issued a new report analyzing Medicaid rule changes put in place by the Bush administration. Due to the changes, Michigan will lose more than $732.4 million in federal funding over the next five years. This funding cut will cost an estimated 15,300 jobs, and as a result, cost an additional $572.4 million in wages and $1.5 billion in lost business activity.

The seven regulation changes issued by the Bush Administration in 2007--and imposed on states without congressional review or debate--restrict funding for a variety of Medicaid services, including rehabilitation services and school-based transportation, as well as Medicaid administrative services, such as outreach, enrollment, and case management. The seven rule changes are now either under a congressional moratorium or awaiting implementation.