If we were to block grant Medicaid to the States, making them fully responsible--not taking away any of their dollars, making them fully responsible, take the Federal laws, let them do it, what we will see is some States very successful and some States not.
Coburn discusses the potential benefits of block granting Medicaid to states.
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That is not partisan. That is just due to the fact that there is not a commitment to reconciliation and working together to get things done.
We have something we call 'maintenance of effort' that we use in other programs, educational programs, when there is Federal money, we say to States, 'You have to maintain effort.'
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