The article discusses a proposal for "per capita caps" on Medicaid that would set a fixed federal funding amount per person, potentially reducing state budgets and affecting services. Representative Guthrie argues these caps could control rising healthcare costs while allowing growth according to medical inflation. He acknowledges the political challenges of this approach, especially concerns about Medicaid beneficiaries losing coverage. President Trump expressed a desire to preserve Medicaid benefits, focusing instead on eliminating waste, highlighting the tension between budget constraints and service provision.
"I dealt with it. That's why I care about this, I was on the budget committee in state government, and it just overwhelmed state budgets."
"What I've learned is as we keep subsidizing health care, the price keeps going up. So my idea with per capita allotments has always been that'll control costs."
"It allows [the program] to grow at medical inflation. Every state gets the same money they get this year, plus medical inflation."
"I've talked to a lot of providers, other groups, and they're concerned... I think we can do it in a way that people get service."
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