State leaders have shown a decadeslong antipathy toward the health insurance program. If Trump makes severe reductions, it’s unlikely leaders would have the political will to make up any lost federal funds with state money, experts say.
Texas leaders have shown a decadeslong antipathy toward Medicaid , the federal-state health insurance program that covers millions of low-income and vulnerable residents.
“We expect the Republicans to move very quickly to cut Medicaid dramatically and indeed end its guarantee of coverage as it exists today,” said Joan Alker, executive director of Georgetown University’s Center for Children and Families in Washington, D.C. Even when Texas does offer Medicaid coverage to its most vulnerable residents, state officials enabled a system that creates often insurmountable barriers to receiving care. A 2018 Dallas Morning News investigation found that some of the insurance companies Texas hired to administer Medicaid benefitsTexas insures more than 4 million residents through Medicaid, which amounts to a smaller percentage of its total population than almost any other state.
While those efforts did not significantly advance during Trump’s first term, Republicans will hold majorities in both the House and the Senate come January, and they have signaled an openness to impose caps on spending and establish requirements that most adults in the program hold jobs. They argue that Medicaid spending is unsustainable and that the program is susceptible to waste, fraud and abuse.
Cornyn, whose spokespeople also repeatedly declined to comment, said last month that he would not support cuts to Medicare, the federal health insurance program for seniors and the disabled, or to Social Security. Still, he suggested that Medicaid cuts were on the table.William T. Smith, a 65-year-old retired construction worker who lives along the U.S.
Texas Politics Texas Policy Texas Government Health Care Medicaid Donald Trump Greg Abbott Investigations
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