Republicans have hinted that they intend to use their Obamacare repeal push to transform Medicaid into a block grant system, a long-held GOP policy dream that faces deep resistance from state officials and could make the already treacherous territory around repeal of the Affordable Care Act more complicated.
White House adviser Kellyanne Conway earlier this month pointed to Medicaid block grants as one of the options the Trump administration was considering as part of its plan to replace the Affordable Care Act. Lawmakers at last week's GOP congressional retreat in Philadelphia also raised an overhaul of the program as a possibility.
However, to do so, they would have to muddle through numerous tough policy questions and trade-offs that could pit GOP lawmakers against each other, if the past attempts to block grant Medicaid are any guide. Meanwhile, governors, including some Republicans, have expressed wariness of any Medicaid proposals that would shift its costs to their states.
Here are 5 points on the GOP push to block grant Medicaid.
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