The Trump administration will allow states to cap Medicaid spending, which covers about 1 in 5 low-income Americans. The new block grant program – now called “Healthy Adult Opportunity” – was rejected by Congress three years ago and will effectively reduce health benefits for millions who gained coverage through the Affordable Care Act. Democrats, health care providers, and consumer groups warned that capping federal funding for adults on Medicaid and giving states more freedom to decide who and what the program covers would jeopardize medical access and care for some of the poorest Americans.
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