Trump proposes big cuts to health programs for the poor, elderly and disabled
By Jeff Stein and Amy Goldstein March 11 at 12:05 PM The Trump administration is proposing a sharp slowdown in Medicaid spending that would shift more than $1 trillion over 10 years by steering the entitlement program into a system of block grants that would give states far more freedom to set their own rules over how to cover the poor.
The spending plan calls for a cut of nearly $1.5 trillion in Medicaid over 10 years and for $1.2 trillion to be added for a new “Market Based Health Care Grant” — that is, the block grants that would start in 2021. It also would eliminate funding for Medicaid expansion under the Affordable Care Act has gone to about three dozen states over the past five years.
Federal health officials have quietly been exploring the controversial idea of giving individual states permission to convert their Medicaid programs to block grants or a system of caps. Senior officials of at least one state, Utah, have said publicly they have been discussing the idea with leaders of the Department of Health and Human Services’ Centers for Medicare and Medicaid Services, and leaders of other conservative states also appear to be interested.
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