One idea under discussion is to scale back the amount of money that expansion states get over time. Indeed, one conservative bloc in Congress wants to cut expansion altogether as part of Obamacare repeal. But governors of those states are warning Congress that millions of people could be dropped from the rolls if the feds cut their funding. Because Republicans, including President Donald Trump, have promised that no one will lose their insurance under an Obamacare repeal, the GOP has few options beyond spending more.

By capping Medicaid and reducing the federal rules for states, “you could end up with 19 more states involved in Medicaid expansion,” said Sen. Bob Corker (R-Tenn.). “So the tab could actually be much higher than it is right now.”

“Here’s why they have to look out for the governors who [didn't expand]: If they’re not rapidly taking money away from the states that got it, you’re creating intraparty rivalry and tensions,” added Tom Miller, a health policy expert at the conservative American Enterprise Institute.

Republicans want to end Medicaid as an entitlement where there's no limit on what the federal government spends. They would cap how much to reimburse states per enrollee in an Obamacare repeal-replace plan. Important details have yet to be worked out, including how much to pare back federal spending.

pacino wrote:from the piece:

One idea under discussion is to scale back the amount of money that expansion states get over time. Indeed, one conservative bloc in Congress wants to cut expansion altogether as part of Obamacare repeal. But governors of those states are warning Congress that millions of people could be dropped from the rolls if the feds cut their funding. Because Republicans, including President Donald Trump, have promised that no one will lose their insurance under an Obamacare repeal, the GOP has few options beyond spending more.

By capping Medicaid and reducing the federal rules for states, “you could end up with 19 more states involved in Medicaid expansion,” said Sen. Bob Corker (R-Tenn.). “So the tab could actually be much higher than it is right now.”

“Here’s why they have to look out for the governors who [didn't expand]: If they’re not rapidly taking money away from the states that got it, you’re creating intraparty rivalry and tensions,” added Tom Miller, a health policy expert at the conservative American Enterprise Institute.

Republicans want to end Medicaid as an entitlement where there's no limit on what the federal government spends. They would cap how much to reimburse states per enrollee in an Obamacare repeal-replace plan. Important details have yet to be worked out, including how much to pare back federal spending.

they're going to cut cut cut. All the ideas floated out there are essentially a cut into Medicaid reimbursements on a state level. Most states will NOT raise taxes to try to make up this funding; they will seek new waivers to fiddle around with crappier coverage, premiums, lowering the income tests again, etc.

i'm just very pissed about all this. i don't mean to dump on anyone.

RichmondPhilsFan wrote:

pacino wrote:from the piece:

One idea under discussion is to scale back the amount of money that expansion states get over time. Indeed, one conservative bloc in Congress wants to cut expansion altogether as part of Obamacare repeal. But governors of those states are warning Congress that millions of people could be dropped from the rolls if the feds cut their funding. Because Republicans, including President Donald Trump, have promised that no one will lose their insurance under an Obamacare repeal, the GOP has few options beyond spending more.

By capping Medicaid and reducing the federal rules for states, “you could end up with 19 more states involved in Medicaid expansion,” said Sen. Bob Corker (R-Tenn.). “So the tab could actually be much higher than it is right now.”

“Here’s why they have to look out for the governors who [didn't expand]: If they’re not rapidly taking money away from the states that got it, you’re creating intraparty rivalry and tensions,” added Tom Miller, a health policy expert at the conservative American Enterprise Institute.

Republicans want to end Medicaid as an entitlement where there's no limit on what the federal government spends. They would cap how much to reimburse states per enrollee in an Obamacare repeal-replace plan. Important details have yet to be worked out, including how much to pare back federal spending.

they're going to cut cut cut. All the ideas floated out there are essentially a cut into Medicaid reimbursements on a state level. Most states will NOT raise taxes to try to make up this funding; they will seek new waivers to fiddle around with crappier coverage, premiums, lowering the income tests again, etc.

i'm just very pissed about all this. i don't mean to dump on anyone.

You assume that they are going to be able to reach an agreement on this within the next two years that won't get filibustered in the Senate. They've had seven years to figure this out and still can't. The holdout state governments were stunned to realize that their decision might've been short-sighted and carry unintended consequences.

JUburton wrote:https://twitter.com/jaketapper/status/831867064155504641

go cal go

pacino wrote:

RichmondPhilsFan wrote:

pacino wrote:OK, but they're going to do it at the expense of states who DID expand

Again, so what? Just because a poor person in upstate New York had the good fortune of living in a blue state, they deserve superior federal benefits to someone stuck in a red or purple state? Long-term cuts are obviously bad, but people need help, period.

they're not going to get help. this is simply going to cut the benefits of the person in NY.

JUburton wrote:Perez claiming he has the votes necessary for DNC chair.

CalvinBall wrote:

JUburton wrote:https://twitter.com/jaketapper/status/831867064155504641

go cal go

ashton kutcher is one of the speakers. had no idea he had a foundation ivovled with this issue.

td11 wrote:@mkraju
EXCLUSIVE: Top Senate Rs have urged the WH to withdraw Puzder nomination. There are 4 firm no votes and up to 12, source says. Next on CNN

Holy shit