Trump’s Medicaid budget plan could leave states and enrollees hanging

Modern Healthcare

By: Harris Meyer

The $1.5 trillion Medicaid cuts and the national work requirement in President Donald Trump’s new proposed budget inject fresh uncertainty into the fate of current state efforts by Republicans to overhaul the healthcare program for poor and disabled Americans.

The Trump budget would reduce federal Medicaid spending by $1.48 trillion over 10 years, with most of the reduction apparently due to the establishment of block grants or per-capita caps, whichever each state chooses, according to Edwin Park, a Medicaid expert at Georgetown University. Starting in 2021, federal Medicaid spending would grow annually at the Consumer Price Index, which is about two percentage points slower than actual Medicaid spending growth.

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