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National Association of Medicaid Directors unanimously opposes Graham-Cassidy healthcare bill — 4 insights

The National Association of Medicaid Directors released a statement unanimously disapproving of the healthcare bill introduced by Sen. Lindsey Graham, R-S.C., and Sen. Bill Cassidy, R-La., The Hill reports.

Here's what you should know:

1. The 50 state Medicaid directors took issue with the bill's per-capita caps on Medicaid. They wrote the switch to per-capita caps and block grants was "the largest intergovernmental transfer of financial risk from the federal government to the states in our country's history."

2. The coalition also criticized the lack of statutory reform. The group believes reform is necessary to facilitate possible funding reductions

3. The proposal would require states to develop their own healthcare programs by 2020. The coalition argues that's a "massive undertaking."

They said, "States will need to develop overall strategies, invest in infrastructure development, systems changes, provider and managed care plan contracting, and perform a host of other activities. The vast majority of states will not be able to do so within the two-year timeframe envisioned here, especially considering the apparent lack of federal funding in the bill to support these critical activities."

4. The coalition believes the rushed proposal does not have enough time to complete a full vetting process, citing the lack of a Congressional Budget Office score.

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