Blocked on Capitol Hill from cutting and restructuring federal money for Medicaid, the Trump administration has launched a new effort to develop ways to change how the half-century-old safety net program is funded.
Blocked on Capitol Hill from cutting and restructuring federal money for Medicaid, the Trump administration launched a new effort Thursday to develop ways to change how the half-century-old safety net program is funded.
Medicaid, together with the related Children’s Health Insurance Program, now covers more than 70 million low-income Americans and costs some $600 billion annually. Those costs are split between the federal government and states. Each state has responsibility for operating its own Medicaid program.Senior administration officials billed their new plan as an opportunity for states to experiment with new ways to design their safety nets that could save money.
The administration’s proposal doesn’t appear to affect states such as California that wish to maintain current Medicaid funding.Nevertheless, the administration’s move was widely seen as another effort to cut healthcare assistance for poor patients, echoing the White House’s 2017 push to roll back coverage expansions made possible by the Affordable Care Act and its more recent support for a lawsuit seeking to eliminate the 2010 law.
States will not be allowed to alter Medicaid coverage for poor children, pregnant women, seniors or disabled Americans, Verma said. Federal courts already rejected a previous attempt by the Trump administration to make a substantial change to Medicaid without congressional approval, overturning the administration’s approval of state requests to impose work requirements on people enrolled in Medicaid.
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