When Republicans took over Congress in 1994, the idea reemerged, was passed and sent to President Bill Clinton, who vetoed it . President George W. Bush revived the idea again in 2003 , but he could not get Congress to act on it. The latest version of the proposal offered by House Republicans would give states the option of modifying the plan so that the federal payments to states would be based on a per capita funding formula . A number of Republican governors have supported the idea , because the program would generally relieve states from rules governing who and what to cover in Medicaid in exchange for accepting limited funding. But advocates for the poor say it would lead to fewer people getting fewer services. http://johnstevensvoice.denaliinstitute.org/2016/10/07/some-emerging-ideas-on-indispensable-aspects-in-tips-for-curriculum-vitaeBecause the federal contribution proposed by Ryan is specifically set to increase more slowly than predicted inflation in health care, states could either contribute much more to their Medicaid programs, or, more likely, use that flexibility to make deep cuts to the program, said Park. A 2012 estimate from the Urban Institute said that years proposal could result in 17 million people losing coverage, and payments to health care providers could be cut by nearly a third. Thomas Miller of the conservative American Enterprise Institute says more recent proposals have gotten less draconian. Its gotten a little better because as opposed to a big block grant, its gone to the per capita allotments that would be based on the number of people enrolled in the program. Park of the CBPP said that would be better than simply giving states a single pot of money.
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