Pending CMS Guidance on Medicaid Block Grants: Executive Overreach Strikes Again—Center for Children and Families

It has been reported that CMS is developing guidance to encourage states to pursue a new “block grant” or “per capita” cap on federal Medicaid funding through Section 1115 waiver requests. And sure enough, this “Dear State Medicaid Director” letter has appeared on the Office of Management and Budget’s website signaling that it is under review by the White House.

For a President and his Administration that have shown little regard for legal boundaries and the separation of powers, it is perhaps not surprising that CMS is pursuing such a radical change. A paper released today by the Center on Budget and Policy Priorities outlines the many dangers of this approach. But fundamentally altering the structure of Medicaid’s financing is clearly a decision that only Congress can make with the President’s assent…

Read the full article from the Georgetown University Health Policy Institute Center for Children and Families here.