Vox

By: Dylan Scott

Two years in, senior Trump administration officials are still hunting for new ways to cut Medicaid.

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Work requirements, in other words, could become a tool by which states can partially roll back Medicaid expansion or implement a neutered version of it. The same could be said of waiver provisions that would lock people out of Medicaid coverage for failing to pay a premium and that put a time limit on how long people can be eligible for Medicaid. It is a remarkable reversal, Medicaid experts say, from the way waivers have been used in the past to expand health coverage.

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“We’re just talking about ways to cut coverage,” Joan Alker, executive director of Georgetown University’s Center for Children and Families, told me. “Under any previous administration, waivers have not been used to devise ways to cut coverage.”

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