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Miles Archer

(18,837 posts)
Sat Jan 25, 2020, 11:09 AM Jan 2020

Trump admin finalizing plan to convert funding for 37 expanded Medicaid states to block grants

The Trump administration is finalizing a plan to let states convert a chunk of Medicaid funding to block grants, even as officials remain divided over how to sell the controversial change to the safety net health program.

CMS Administrator Seema Verma plans to issue a letter soon explaining how states could seek waivers to receive defined payments for adults covered by Obamacare's Medicaid expansion, according to seven people with knowledge of the closely guarded effort. An announcement is tentatively slated for the end of next week, more than one year after Verma and her team began developing the plan.

Capping Medicaid spending, even among just Obamacare's expansion population, would be a major transformation of how the federal government finances the safety net health care program that has grown to cover about 1 in 5 Americans. The plan is guaranteed to enrage critics and invite attacks from Democrats in an election year.

Republicans have long argued that states should receive defined funding for Medicaid, instead of the current open-ended structure in which the federal government matches state spending. Democrats, along with many hospital and physician groups, have fiercely opposed the idea, warning that strict funding constraints would result in cuts to enrollment and health care services.

https://www.politico.com/news/2020/01/23/trump-targeting-obamacare-102887
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Trump admin finalizing plan to convert funding for 37 expanded Medicaid states to block grants (Original Post) Miles Archer Jan 2020 OP
I had hoped this idea had died in the 90's Wounded Bear Jan 2020 #1
Phase 1. Miles Archer Jan 2020 #3
I remember that... Wounded Bear Jan 2020 #5
Washington State got its uninsured rate down to 5% with expanded Medicaid bluedye33139 Jan 2020 #2
When the next epidemic comes, greymattermom Jan 2020 #4
I've argued that point with right wingers and they either don't get it or don't care. CrispyQ Jan 2020 #13
Republican shitheads are everywhere and Trump is there vehicle to get things done. dem4decades Jan 2020 #6
From last night's Bill Maher show.... Miles Archer Jan 2020 #8
The tRUMP mal-administration needs to put through another tax cut to fund all their plans to abqtommy Jan 2020 #7
you can change the destination for the block grant WhiteTara Jan 2020 #9
Here we go, moving into an advanced capitalist state -- defund all govt social services ancianita Jan 2020 #10
And who benefits from this? Bayard Jan 2020 #11
The corrupt piece of shit in charge of this scheme: dalton99a Jan 2020 #12

Miles Archer

(18,837 posts)
3. Phase 1.
Sat Jan 25, 2020, 11:16 AM
Jan 2020

Phase 2: They are also working on "adjusting" the poverty index to knock people off of Social Security Disability, and the ones who still qualify will have a tougher process for first approval, and everyone else will have to re-qualify every six months. This has been a Mick Mulvaney project. I posted the details previously on DU and am far too lazy to look it up again and re-post it this morning, but trust me, it's a "thing."

I also previously posted an article about a Joni Ernst town hall meeting in which she said lawmakers need to go behind closed doors, away from media scrutiny, and "fix" Social Security.

While we're watching all of the bright and shiny Trump media objects, this is a very real thing, and if Trump does get a second term...especially if we don't wipe out the Senate majority...you can kiss Medicaid, Medicare and SS goodbye. Whatever is left standing will be a shadow of what's in place right now.

Wounded Bear

(58,660 posts)
5. I remember that...
Sat Jan 25, 2020, 11:23 AM
Jan 2020

Glad to see you're still on the case. All that has been a long term Republican goal.

If we don't win in 2020, life's gonna get hard for a lot of folks.

bluedye33139

(1,474 posts)
2. Washington State got its uninsured rate down to 5% with expanded Medicaid
Sat Jan 25, 2020, 11:11 AM
Jan 2020

And it has been a godsend to the people of this state.

Of course the Trump administration wants to stop that.

greymattermom

(5,754 posts)
4. When the next epidemic comes,
Sat Jan 25, 2020, 11:19 AM
Jan 2020

or maybe is already here, even rich folks will die if people can't get isolation treatment. Why don't Republicans care about their own health? Viruses can get into gated communities.

CrispyQ

(36,470 posts)
13. I've argued that point with right wingers and they either don't get it or don't care.
Sat Jan 25, 2020, 03:17 PM
Jan 2020

I think they don't care.

When that health crisis gets here, you can bet the haves will be pointing their fingers at the have-nots and whining, "Why didn't you see a doctor when you first felt bad?"

Miles Archer

(18,837 posts)
8. From last night's Bill Maher show....
Sat Jan 25, 2020, 11:32 AM
Jan 2020

...they say the same things about Trump that we do, in private, but they're getting what they want, so it's all red MAGA hats in public.

abqtommy

(14,118 posts)
7. The tRUMP mal-administration needs to put through another tax cut to fund all their plans to
Sat Jan 25, 2020, 11:30 AM
Jan 2020

destroy the safety net. Keep on winning so bigly!

WhiteTara

(29,716 posts)
9. you can change the destination for the block grant
Sat Jan 25, 2020, 12:01 PM
Jan 2020

you can say it's for medicaid; but, then use it for something else.

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