The Republican Party platform states that Medicaid “should be treated like Medicare.”
The party says that “we must make sure that the costs of care for low-income and working Americans are reduced, and that people who are most in need of care have access to it.”
It also says that “[t]he United States should be a land of opportunity for everyone.”
But in a policy paper issued last week, Trump didn’t quite see it that way.
In his budget proposal, Trump says Medicaid costs should be cut to about $1.8 trillion over a decade.
“This will result in a reduction in the Medicaid program’s overall spending of $5.4 trillion over the next decade,” the document states.
It also suggests that the federal government could provide some money to states to cover the costs.
But this money “would be used only to cover health care costs incurred under existing state Medicaid programs, which are not subject to the same cap and price requirements as Medicaid.”
This proposal is a massive shift from the way Trump has handled Medicaid over the past year.
In February, Trump released a budget proposal that would have significantly cut Medicaid spending, leaving many states in the dark about the impact of the proposal.
Medicaid spending in the states would have been slashed by more than $1 billion, and states would only have received about half of what they were supposed to receive.
That left many states struggling with massive Medicaid cuts, leaving people to go without basic care and facing skyrocketing health care bills.
“The Republican Party’s proposed cuts to the Medicaid Program are a disaster,” said Rachel Maddow, a senior fellow at the Center on Budget and Policy Priorities, a left-leaning think tank.
“We’re seeing an absolute reversal of the Medicaid promise of providing healthcare to the people who need it most.”
While Medicaid spending will be reduced under the Trump administration’s plan, the number of people covered will increase.
Under the current Medicaid system, a state would receive an allotment of money for a specific type of health care—called the “advance payments”—and the state would be responsible for covering the cost of health insurance premiums, deductibles, and other costs.
Under Trump’s proposal, states will be required to spend about 10 percent of their funding on Medicaid in 2022, up from about 2 percent currently.
This change is particularly striking given that under the current system, Medicaid spending is capped at a level that is much higher than the number that states currently receive.
States would have to pay an average of $6,000 more per enrollee to cover costs for individuals and families, or $20,000 for children.
That is a lot of money.
The Congressional Budget Office estimated in January that under Trump’s plan states would spend $2.7 trillion in 2021 on Medicaid, and $3.4 billion in 2022.
Under current law, Medicaid spends about $2 billion per enroller, and Medicaid spending per enrolle is about $25,000.
But Trump’s budget proposes that the states will spend nearly $2,500 more per person.
States also have the option of spending $1,500 on a health savings account, which would allow them to pay for their health care expenses over a period of time.
The proposal states that states would be able to “subsidize the cost-sharing payments” through the Medicaid Health Benefit Programs.
The funds will come from the Medicaid Budget Account, a separate account that has been created by Congress.
Under this proposal, “States could use the funds to pay the cost for Medicaid coverage, deduct premiums, and pay for enrollees’ out-of-pocket expenses.”
It is unclear whether states will use the Medicaid funds for premiums, out- of pocket expenses, or for any other reason.
While the Trump budget proposes the federal funds would be used to cover premiums, the details are not yet clear.
The White House did not respond to a request for comment.
The Medicaid budget would also have a major impact on the federal health care program, which has become increasingly reliant on states.
The Affordable Care Act has expanded Medicaid to more than 90 million people and allowed states to expand eligibility, but many states have struggled with enrollment, because of a lack of access to affordable health insurance.
While many states are struggling to fill their Medicaid rolls, some states are also struggling to keep their budgets up.
States are paying a much higher premium for coverage than they were before the ACA.
According to the Kaiser Family Foundation, the average premium for the three states with the highest premiums in the country are about $6.20 per month.
In Alaska, where Medicaid is funded entirely by the federal budget, the typical premium for an individual enrolled in Medicaid is $10,724.
The average premium is about seven times higher in Alabama than it is in California.
And in Tennessee, where the Medicaid expansion has been extended for several years, the state’s