When Republican leaders in the House of Representatives released the proposed American Health Care Act to replace Obamacare, it was the shot heard around the Beltway. It represents the first major step in fulfilling a key mandate issued by the American people in November’s election results. However, despite a flurry of headlines, meetings and negotiations, key technical points about implementation have been lost in the discussion.
Medicaid is the one area that these technical points matter most in repealing Obamacare. The Medicaid expansion is already facing massive budget overruns and crowding out resources for the truly needy. Unwinding this expansion to able-bodied adults and refocusing the Medicaid program on the most vulnerable is critical to any repeal effort.