Medicaid expansion has rankled Republicans, who continue to resist expansion in many states. The most recent GOP effort to shift Medicaid to block grants failed in 2017 when the party’s drive to roll back the 2010 healthcare law collapsed. Politics
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When did Medicaid block grants start and end?
Jan 30, 2020 · The Trump administration tried and failed to have Congress create a similar structure for Medicaid in 2017 — both an option for states to block grant Medicaid and a mandatory nationwide per capita cap on federal Medicaid funds to states — as part of the effort to repeal the Affordable Care Act. The destructiveness of capping federal Medicaid funds and …
What would block granting Medicaid mean for low-income people?
Jan 24, 2017 · Since block grants aren’t based on individual enrollment each year, the state wouldn’t necessarily get more money to compensate if, say, more people qualified for Medicaid because of an ...
Can Republicans pass a block grant plan to replace Obamacare?
Jan 30, 2020 · Medicaid block grants will harm families who depend on Medicaid in the form of losing access to maternal health visits, life-saving medications, and critical medical appointments. Though our country has never acted on previous attempts to pass Medicaid block grants to states, expected consequences are that efforts to expand and improve health care …
How are block grants calculated for States?
Medicaid Block Grants Put States and Medicaid Enrollees at Risk A “block grant” is a ixed amount of money that the federal government gives to a state for a speciic purpose. If Medicaid was turned into a block grant, the federal government would set its Medicaid spending amount in advance. That amount would presumably be based on some estimate of state Medicaid costs, …
How do block grants affect the states?
Block grants provide state and local governments funding to assist them in addressing broad purposes, such as community development, social services, public health, or law enforcement, and generally provide them more control over the use of the funds than categorical grants.Feb 21, 2020
What is the biggest problem with block grants?
A block grant wouldn't respond the same way to a faltering economy and greater need. Fixed funding levels would require states to absorb higher costs — or to cut eligibility or benefits. And the economy would lose an automatic stabilizer, which would worsen the downturn.
Why do states prefer block grants?
Block grants are given to states or communities and they decide how to spend the money. States prefer block grants because there are less strings attached and the money can be used for a broader purpose.
What is one of the biggest problems with federal block grants group of answer choices?
What is one of the biggest problems with federal block grants? There is a need for greater accountability in how the funds are actually spent by the states.
When the federal government makes a block grant?
When the federal government makes a block grant, it gives each state or local government an exact amount of money to spend for some purpose. The clause states that the United States Congress shall have the power "To regulate Commerce with foreign Nations, and among the States." You just studied 16 terms!
Do grants-in-aid support the federal government?
A federal grant-in-aid is a type of federal financial assistance provided to state governments, nonprofits, or other organizations within the United States. There are many different grant-making agencies of the federal government, and each of these issues federal grants-in-aid to help serve the public interest.Oct 28, 2021
Do states prefer categorical grants to block grants?
States prefer categorical grants to block grants. Categorical grants are more restricted than block grants. States, therefore, prefer block grants. Implied powers are not expressly stated in the Constitution, but they have been used to expand the size of the federal government.
Why does the federal government prefer the use of categorical grants rather than block grants?
Congress prefers Categorical Grants because expenditures can be targeted according to congressional priorities. In the Constitution (Article 1, Section 8), Congress is given the power to regulate foreign/interstate commerce.
Why does the federal government prefer the use of categorical grants rather than block grants quizlet?
Why do states prefer block grants to categorical grants? B: Block grants allow states to spend federal money on any government purpose, although they are coming with more strings attached. Categorical grants required the states to spend the money on a specific purpose, like building an airport.
What was the major reason that the slogan states rights become tarnished?
What was a major reason that the slogan "states' rights" became tarnished in the 1950s and 1960s? It had been used by southern opponents of the civil rights movement to support racial segregation. Which of the following statements about the structure of American federalism is true?
What agreements does the Constitution prohibit the states from making?
The agreement that the constitution prohibit the states from making is called the interstate compact agreement. According to Article 1, Section 10 of the US Constitution, “no stall will enter into an agreement or compact with another state.Nov 29, 2021
How do block grants reflect cooperative federalism?
Block grants reflect cooperative federalism in the way that federal money is used to help the American communities. Block grants allow the local powers distribute the money to qualifying programs and agencies.
What is block grant system?
The block grant system is a radical shift from how Medicaid has worked previously. Republicans say it could save the government billions of dollars. But other analysts note those savings could limit access to health care if the funding becomes squeezed. Thanks to the 2010 health law, which led states to expand Medicaid eligibility, more people would face the brunt of those cuts.
Who pushed Medicaid in 1981?
This dates back at least until the 1980s. President Ronald Reagan pushed Medicaid block grants in 1981, House Speaker Newt Gingrich in 1995 and President George W. Bush in 2003.
Why did Trish go into debt?
Trish has several health challenges. She had gone into debt due to being uninsured seeking the medical care that she needed. She credits her well-being and life to Medicaid expansion in her state.
Did Deb have health insurance?
Summary: Deb and her family had gone through long periods of time without health insurance. After more than a decade without coverage, she and her son –who has a chronic condition—were able to get insured by Medicaid. She knows without this coverage, her family would be in financial distress.
Did Paul Paul get a kidney transplant?
Paul would not have been able to get the necessary kidney transplant he desperately needed without the aid of Medicare and Medicaid. Now, as an adult with a pre-existing condition, he relies on the ACA-protections to keep him covered.
Is Katie from Madison Wisconsin on Medicaid?
Katie was born with a condition that affects almost every system in the body and is extremely complex to treat. In 2015, Katie qualified for SSDI and Medicaid. Through Medicaid, she has been able to access doctors in Madison that finally have her condition somewhat manageable.
Is Medicaid expanding to block grants?
Some states that have already expanded Medicaid are also likely to mull over converting their expansion population programs to block grants. The governors of Alaska and Georgia may feel pressure to follow this guidance, according to Families USA executive director Frederick Isasi, though “block grants are possibly the worst Medicaid idea ever presented to states by a federal administration.”
What is a block grant?
Block grants, by design, are intended to limit federal funding. Capping Medicaid with a block grant (a fixed amount of federal funding) may sound reasonable, but with limited federal funding, states could be forced to balance their budgets by dropping people from coverage and reducing mental health services. If a state is approved ...
What does NAMI believe?
NAMI believes that health insurance should provide comprehensive mental health and substance use disorder coverage without arbitrary limits on treatment. NAMI opposes block grants or per-capita caps in Medicaid, which impose financing limits that jeopardize coverage and services for individuals with mental health conditions.
Does the federal government pay for medicaid?
Currently, the federal government pays at least half the amount a state spends on Medicaid — no matter what that amount is. To get federal matching, states agree to certain benefits and standards in their program to protect the health of anyone enrolled in Medicaid.
Is Medicaid good for mental health?
Medicaid is critical to helping people with mental health conditions, providing health coverage to more than one in four adults with a serious mental illness . A new opportunity for states to apply for block grants in their Medicaid program could impact mental health benefits for many Americans.
What would happen if Medicaid was blocked?
A Medicaid block grant would lead to draconian cuts to eligibility, benefits, and provider payment rates. A Medicaid block grant would institute deep cuts to federal funding for state Medicaid programs and threaten benefits for tens of millions of low-income families, senior citizens, and people with disabilities.
What is a block grant?
A block grant would cap federal Medicaid funding in order to achieve savings for the federal government. Under current law, the federal government picks up a fixed percentage of states’ Medicaid costs: about 57 percent, on average (outside of the ACA’s Medicaid expansion). In contrast, under a block grant, states would receive a fixed dollar ...
How much will Medicaid be cut in 2026?
By the budget plan’s tenth year (2026), federal funding for Medicaid and the Children’s Health Insurance Program (CHIP) would have been $169 billion — or about 33 percent — less than under current law (see Figure 1). The size of the cuts would have kept growing after 2026. Moreover, the actual cut in federal funding for states, ...
Is Medicaid efficient?
Medicaid is already efficient and innovative. Block grant supporters, including House Republican leaders, often argue that states could compensate for the substantial losses in federal funding they would experience under a block grant by using added flexibility to cut costs without harming beneficiaries. That claim doesn’t withstand scrutiny.
