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1 posted on 01/19/2020 10:11:35 AM PST by karpov
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To: karpov
"Lawmakers in Tennessee, Alaska and Oklahoma have already expressed an interest in pursuing block grants. Supporters of block grants say the change would free states from federal requirements and give them more flexibility to try new ways to increase coverage and cut costs."

Their was a State Senator in a midwest state that proposed this in his state but his RINO governator finally got one more swamp vote R to break his stalemate. You see he wanted to combine HSA's and Direct Primary Care for Medicade and projected savings could have been as high as 60%. So what was 20 grand to take care of a family of 4 would have been 8k if my math is correct, that is a savings of $12,000.

Major Insurer with a four letter abreviation told all those in office, you go forward with this you get no money to run. Nevermind the swamp in DC it is every friggen statehouse.

When will these fartknockers learn, leave me alone, don't touch my stuff and stop screwing me.

2 posted on 01/19/2020 10:34:12 AM PST by taildragger ("Do you hear the people Singing? Singing the Songs of Angry Men!")
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To: karpov

This is a simple counter to make states like California, which wants to use Medicaid to pay for illegals’ health care, put up or shut up.


3 posted on 01/19/2020 10:54:40 AM PST by VanShuyten ("...that all the donkeys were dead. I know nothing as to the fate of the less valuable animals.")
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To: karpov

Medicaid is partially funded by categorical grants. Funds are given in the form of a formula grant to each state. Problem is block grants are chunks of money given to states by the federal government with few or no strings attached. The states are given wide discretion on how they can use the money. So in recent years, the ear marking of funds has been twisted for each state to use as they please for their own purposes or re-election fodder.

And it can underfund itself by use and too much need. Perhaps the most well-known block grant (and the one Paul Ryan wants to use as a model for other programs) is TANF. The law converted a cash assistance program known as Aid to Families with Dependent Children (AFDC) into a block grant now known as Temporary Assistance for Needy Families (TANF). Since the funding is set at a fixed dollar amount, it has helped fewer and fewer families over the years—down from supporting two-thirds of eligible families in 1996 to just one-quarter of eligible families today. So the question can come out, is there enough money or where is it going?

Other significant block grants include the Social Services Block Grant (SSBG), the Community Services Block Grant (CSBG) and the Community Development Block Grant (CDBG). Ironically, these programs have long been targets for elimination by conservatives, who claim they’re not accountable enough. And they are without earmarking and allowing the liberals to borrow from Peter to pay Paul as has been their practice for over 50 year starting in the early 1960’s. So the problem is not near new.

rwood


5 posted on 01/19/2020 12:02:11 PM PST by Redwood71
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To: karpov

Most, if not all states have some form of Medicaid Estate Reclamation law. They just seldom (if ever) use it. Expanded Medicaid swelled the ranks of Medicaid recipients without regard to worth, only income. The states do NOT want the block grants because they KNOW the money will be spent elsewhere and they don’t want to face voter wrath when they are forced to implement Estate Reclamation.


6 posted on 01/19/2020 12:59:53 PM PST by Roccus (Prima di ogni altra cosa, siate armati!)
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