In the coming days, the Senate is expected to vote on the Better Care Reconciliation Act, a GOP effort to repeal the Affordable Care Act that largely mirrors the House Republicans' American Health Care Act. Both GOP plans make significant cuts to Medicaid. While the BCRA provides a single year's worth of funding to combat the opioid crisis, the $2 billion allocation is many billions less than what state governors say they need. Worse, there's no guarantee it will continue beyond 2018.