Federalization of Medicaid: Health Reform Bill Would Reduce State Authority — Dennis G. Smith

Medicaid is designed to be a partnership between the states and the federal government. But under the health bill introduced last week by Speaker Pelosi, the ability of states to run their programs to reflect state variations and preferences would be substantially diminished. Policy decisions would be removed from the elected representatives at the state level and placed in the hands of the federal bureaucracy.

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