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The debate over health care is not over. The public is not satisfied with the status quo, and reform is still necessary, especially to improve care for the poor.
In threatening to cut payments to states that are not enrolling people into Medicaid quickly enough, the administration has found a tool to punish states that have been uncooperative in implementing the president’s healthcare reform.
To win the argument over block grants for Medicaid in Congress, the GOP needs to show that states can manage the most challenging part of Medicaid — the long-term-care component.
For all the debate over whether Texas should expand Medicaid as Obamacare envisions, there has been little debate over a more important question: How should Texas reform its current Medicaid program?
The health law won’t come close to reaching “universal coverage” if the nation’s governors refuse to expand their Medicaid programs. Which is why these governors, and most especially the 30 Republicans among them, have substantial power and leverage to bend national health-care policy in their direction — if they play their strong hand correctly.
This week, TPPF released a follow-on report, co-authored by James Capretta, outlining the broader reform strategy for the Medicaid program. The report describes in some detail the provisions which should be included in federal legislation to convert Medicaid into a block grant.
Governor Rick Scott’s decision to take federal Obamacare money to expand his state’s Medicaid program was unsurprising. Amidst declining political fortunes, he was under intense pressure by local health care firms to accept the new cash.