Feb 25, 2017

Governors' Medicaid plan: Give us flexibility and money

John Minchillo / AP

The Associated Press has gotten a draft of the Medicaid reform plan Republican governors want to propose to the Trump administration and Congress. You might want to sit down for this one: they want more flexibility to manage their costs, but they also want the federal government to keep paying for most of the program.

Key quote: "Flexibility is necessary to improve Medicaid program performance, but states also need adequate funding within a new financing structure to effectively manage the Medicaid program."

What would change: The governors, led by John Kasich of Ohio, are willing to accept some financial limits for Medicaid — but they don't want block grants. Instead, they want per-capita caps, which would limit the amount of funding for each person in the program. (The limits wouldn't apply to the low-income seniors who are eligible for both Medicare and Medicaid.) They'd also be able to impose work requirements and charge people a modest amount for their coverage.

What it means: This sets up a conflict that shouldn't be too surprising: Republican governors and congressional Republicans are on the same page on flexibility, but not on money. The governors want to make sure Congress doesn't cut their funding too much: "We must ensure that people do not have the rug pulled out from under them and are not left without access to care, especially during the transition."

Go deeper

NASCAR driver Ryan Newman hospitalized after fiery Daytona 500 crash

Ryan Newman, driver of the #6 Koch Industries Ford, crashes and flips during the NASCAR Cup Series 62nd Annual Daytona 500 at Daytona International Speedway in Daytona Beach, Florida, on Monday. Photo: Jared C. Tilton/Getty Images

Racing driver Ryan Newman was hospitalized in a serious condition with non-life threatening injuries after his car crashed at the Daytona 500 on Monday, NASCAR said in a statement.

The big picture: The 42-year-old was leading the final lap of the race, won by Denny Hamlin, when his car flipped in the fiery crash. President Trump tweeted after the crash, "Praying for Ryan Newman, a great and brave @NASCARdriver!"

Go deeper: Trump takes presidential limousine for lap at Daytona 500

Bolton indicates more Ukraine details if book prevails WH "censorship"

Former National Security Adviser John Bolton on stage at Duke University in Durham, North Carolina, on Monday. Photo: Melissa Sue Gerrits/Getty Images

Former National Security Adviser John Bolton said during a talk at Duke University in Durham, North Carolina he hopes his new book is "not suppressed" by the White House, according to journalists present in the room.

This is an effort to write history and I did it the best I can. We'll have to see what comes out of the censorship."
Bolton's comments, per Bloomberg and the New York Times

There are warning signs that Nevada could be Iowa all over again

Former Sen. Harry Reid (D) lines up to cast an early vote for the upcoming Nevada Democratic presidential caucus. Photo: Ethan Miller/Getty Images

The alarms are increasingly sounding over Nevada's Democratic caucus, which is just five days away.

Why it matters: Similar issues to the ones that plagued Iowa's caucus seem to be rearing their ugly heads, the WashPost reports.