Medicaid often does not get the attention that Medicare does, but if the House GOP wants to put forward a budget that balances in 10 years, the math would likely force major cuts to the safety net program.
Those could include work requirements or paring federal payments to states, in order to slow program growth.
Asked about conditioning Medicaid coverage on work and reporting requirements, House Energy and Commerce Chair Cathy McMorris Rodgers told Axios: "We're just beginning to have those conversations, but certainly members have talked to me about looking at work requirements for some of the able-bodied in Medicaid."
Rep. Don Bacon , one of the more moderate Republicans in the House, said he would support work requirements depending on the details and if there were exceptions to it. Advocates worry that Republican lawmakers could also bring back Medicaid per capita caps. The policy option, a key piece of the ACA repeal-and-replace debate, would limit how much federal Medicaid funding states can get per enrollee, slowing the growth of Medicaid spending.
While budget proposals are largely symbolic, Republicans do have some leverage to try to enact changes this year as part of negotiations over raising the debt ceiling.
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