Medicaid

Utah rolls back voter-approved Medicaid expansion

Utah Gov.Gary R. Herbert (R).
Utah Gov.Gary R. Herbert (R). Photo: Natalie Cass/Getty Images

Utah Republican Gov. Gary Herbert on Monday signed legislation into law to limit the expansion of the state’s Medicaid program, after voters in the deep-red state approved a ballot measure in November to extend coverage under the Affordable Care Act to about 150,000 additional low-income people starting April 1.

Why it matter: Under the GOP-controlled legislature’s plan, Utah would only provide coverage to about 80,000 people and ask the Trump administration for a waiver to permit the "partial expansion" of Medicaid. But the White House, which has repeatedly voiced opposition against efforts to expand Medicaid, had signaled its opposition to Republicans' scale-down version last year. The government has never approved a partial expansion before, and if it does not grant Utah the waiver, the new law would automatically repeal the entire expansion voters approved.

CMS is skirting the rules on Medicaid waivers

The Trump administration is approving Medicaid work requirements but isn't requiring states to assess the impacts of those policies on their programs, the Los Angeles Times' Noam Levey reports. That appears to violate Obama-era rules that govern the program.

The big picture: Of the 17 states that have sought federal permission to add work requirements to their Medicaid programs, 9 have not included estimates of how many people would lose their coverage as a result.

Trump wants Congress' help on drug prices

House Speaker Nancy Pelosi greets President Trump.
Photo: Ricky Carioti/The Washington Post via Getty Images

President Trump wants Congress' help enacting his agenda on drug pricing, but members of Congress aren’t sure yet whether they want to provide it.

Driving the news: "I am asking the Congress to pass legislation that finally takes on the problem of global freeloading and delivers fairness and price transparency for American patients," Trump said last night. "We should also require drug companies, insurance companies, and hospitals to disclose real prices to foster competition and bring costs down."

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