Mar 1, 2017

What the Republican governors want to do on Medicaid

Evan Vucci / AP

No, they don't just want to do whatever House Republicans are putting in their Obamacare replacement plan. By the end of the National Governors Association meeting this weekend, the GOP governors were closing in on a framework for Medicaid reform to recommend to Congress, I'm told — and it goes beyond the standard Republican proposals of block grants or per-person limits on the funding.

Here's how it would work:

  • If a state that expanded Medicaid wanted to keep the expansion, and the extra federal money that goes with it, they'd have to agree to "put the state on a budget" by eventually switching to per-capita caps or block grants.
  • If they're not willing to do that, they could keep the expansion, but they'd have to do it under the regular federal matching rate — they'd stop getting the extra funds.
  • For a state that didn't expand Medicaid, but wanted to do so now, they could add coverage of childless adults up to 100 percent of the federal poverty line — not the 138 percent under Obamacare. And they, too, would have to switch to per-capita caps or block grants in the future.
  • If they're not willing to switch to per-capita caps or block grants, they could cover everyone up to 100 percent of the federal poverty line, but only with the regular matching funds.

They'd also get more flexibility to help them live within a budget — including using managed care plans, having more ways to control prescription drug spending, and requiring premium contributions.

Why we're going to hear more about this: The Republican governors made it clear to Trump that they don't want any of their residents to lose coverage, and this is how they think they can avoid that problem. But first, they'll have to draft it into enough detail to get cost estimates — and find out what happens to coverage over the long term.

Go deeper

Trump accuses Twitter of interfering in 2020 election

President Trump speaks to the press as he departs the White House in Washington, D.C., on Thursday. Photo: Mandel Ngan/Getty Images

President Trump responded via tweets Tuesday evening to Twitter fact-checking him for the first time on his earlier unsubstantiated posts claiming mail-in ballots in November's election would be fraudulent.

What he's saying: "Twitter is now interfering in the 2020 Presidential Election.They are saying my statement on Mail-In Ballots, which will lead to massive corruption and fraud, is incorrect, based on fact-checking by Fake News CNN and the Amazon Washington Post," the president tweeted. "Twitter is completely stifling FREE SPEECH, and I, as President, will not allow it to happen!"

Coronavirus dashboard

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  1. Global: Total confirmed cases as of 8:30 p.m. ET: 5,584,091 — Total deaths: 349,894 — Total recoveries — 2,284,242Map.
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  3. Federal response: DOJ investigates meatpacking industry over soaring beef pricesMike Pence's press secretary returns to work.
  4. Congress: House Republicans to sue Nancy Pelosi in effort to block proxy voting.
  5. Business: How the new workplace could leave parents behind.
  6. Tech: Twitter fact-checks Trump's tweets about mail-in voting for first timeGoogle to open offices July 6 for 10% of workers.
  7. Public health: CDC releases guidance on when you can be around others after contracting the coronavirus.
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Updated 41 mins ago - Politics & Policy

Twitter fact-checks Trump's tweets for first time

President Trump briefs reporters in the Rose Garden on May 26. Photo: Brendan Smialowski/AFP via Getty Images

Twitter fact-checked two of President Trump's unsubstantiated tweets that mail-in ballots in the 2020 election would be fraudulent for the first time on Tuesday, directing users to "get the facts" through news stories that cover the topic.

Why it matters: Twitter and other social media platforms have faced criticism for not doing enough to combat misinformation, especially when its propagated by the president.