New York Magazine had an interesting article discussing how Trump and the Republicans want to limit the lifetime amount Medicaid will pay for individuals. This will dramatically affect nursing home residents. Five states are asking for the power to impose arbitrary lifetime time limits on benefits for politically disfavored categories of recipients. Given Trump’s inclination to destabilize the individual market segment of Obamacare (and the policies governing it), the Medicaid expansion is now looking like the most successful part of the Affordable Care Act, despite the Supreme Court making the expansion a state-by-state option that still leaves larges portions of the country uncovered.
It’s clear that importing time limits to Medicaid has the intention of indirectly killing off the Affordable Care Act’s Medicaid expansion, by radically curtailing benefits for the low-income childless adults without health insurance.