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Lawsuit May Explain Trump Administration’s Mixed Signals on Medicaid

August 21, 2019

Whether the Trump administration has an appetite for approving a Medicaid block grant may depend on the outcome of a federal lawsuit on Obamacare

 Utah received a mixed signal in July when the administration rejected the state’s request for a “partial” Medicaid expansion plan (see story on page 1).

The administration’s support for a lawsuit pending in the Fifth District Court of Appeals arguing the ACA is unconstitutional has led to a change of policy regarding new expansion plans even if they are innovative. The White House now believes it no longer makes sense to supply generous federal funding to Utah or any other state for Medicaid expansion under the ACA while it is arguing the entire law should be overturned, the Washington Postreported on July 28.


Bonner R. Cohen, Ph.D., (bcohen@nationalcenter.orgis a senior fellow at the National Center for Public Policy Research and a senior policy analyst with the Committee for a Constructive Tomorrow (CFACT).

Bonner R. Cohen is a senior fellow with the National Center for Public Policy Research, a position he has held since 2002.