AXIOS February 15, 2025
New House Energy and Commerce Chair Brett Guthrie (R-Ky.) has pushed for changes to Medicaid since his days as a state legislator. Now he’s one of the main drivers behind what could become a sweeping overhaul of the safety net program.
Why it matters: Guthrie is pushing for spending limits that will be controversial as the House crafts a budget package. However, they could provide almost $900 billion to help extend the Trump 2017 tax cuts.
Catch up quick: He’s pushing for “per capita caps,” which would give states a fixed maximum amount of money for each person on Medicaid.
- The federal government now covers a percentage of states’ Medicaid costs, so the amount reimbursed goes up or down...
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