Republicans’ letter chides Obama’s administration over Medicaid expansion spending: 3 things to know

Sen. Orrin Hatch (R-Utah), Rep. Tim Murphy (R-Penn.) and Rep. Joe Pitts (R.-Penn.) sent a letter to President Barack Obama questioning the ACA’s expansion of Medicaid and its “wasteful” spending, The Hill reports.

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Here’s what you should know.

1. The legislators questioned how the federal government is ensuring the money is properly spent, and how the state and federal governments determine the proper share of Medicaid spending.

2. The Kaiser Family Foundation estimates that nearly 11 million people have gained coverage through Medicaid expansion. It’s expected the Republican Party will repeal the ACA when President-elect Donald Trump takes office. The future of Medicare and the expanded programs is still undecided.

3. President-elect Trump and several other Republicans prefer providing states with block grants to fund Medicaid. Democrats fear block grants would lead to program cuts, according to the report.

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