Wyoming Liberty Group

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Is Medicaid Expansion Still Voluntary?

Throughout the debate to expand Medicaid during the 2015 Legislative Session, opponents repeatedly claimed that the federal government couldn’t be trusted to keep its promise to cover 90 percent of Medicaid Expansion’s costs. So it should come as no surprise that the Obama Administration has now broached the idea of reneging on its existing financial promises. In a letter to the Deputy Secretary of Medicaid in Florida, the head of the federal Center for Medicare and Medicaid Services (or CMS) threatened to withhold funding to a Medicaid pilot program in the Sunshine State unless it expanded Medicaid. If successful, the federal government would have found a way to undermine the Supreme Court’s 2012 decision on Medicaid Expansion and foist a federal program that delivers woefully inferior healthcare onto millions more patients.

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