Lawmakers could not shrink Medicaid – waivers can.
Medicaid is a $500 billion program with unprecedented growth the past four years and now covers 75 million people.
Josh Archambault, senior fellow for the conservative Foundation for Government Accountability, said without congressional action on the health bill “the administration may be even more proactive in engaging with states on waivers outside of those that are already planning to do so.”
Arizona and four other states are seeking the administration’s permission to require adult enrollees to work, submit to drug testing and demand that some of their poorest recipients pay monthly premiums or get barred from the program. Read about how states can use waivers to customize and reduce Medicaid expenses in Kaiser Health News