Money.com: What Would Happen to Seniors in Nursing Homes Under the Republican Health Care Bill? (6/29/2017) The Better Care Reconciliation Act, proposed by Senate Republicans to replace the Affordable Care Act, would result in an estimated $772 billion Medicaid cut. Medicaid provides a vital safety net to older adults, covering long-term care at home or in a facility. Justice in Aging’s Eric Carlson said, “It’s not like Medicaid systems have been rolling in cash under the current system, due to the need.” An estimated 2.2 million older Americans received Medicaid long-term care aid in 2011.