Republican Sen. John Kennedy (La.) on Thursday said Medicaid work requirements should be mandatory for states, and the Department of Health and Human Services (HHS) should take the lead to make it happen.

During a hearing on the HHS budget, Kennedy said many Medicaid beneficiaries who aren’t working “would like to know the dignity of work” noting he would like to see HHS work with Congress to put together a program that would institute a mandatory requirement that Medicaid beneficiaries work 20 hours a week.

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By better focusing the Affordable Care Act’s subsidies on the subset of individuals who are uninsurable in an actuarially priced market, STLDI deregulation would increase overall insurance enrollment. Reductions in premiums for individuals able to enroll in STLDI plans are likely to greatly exceed the slight increase in costs for higher-income unsubsidized individuals remaining on the exchange. STLDI deregulation might even save taxpayers a little money too.

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Sen. Lamar Alexander (R-Tenn.) wrote in a recent letter that bipartisan efforts to fix ObamaCare have failed and he is now turning to focus on additional actions the Trump administration can take on its own regarding the health-care law.

Alexander worked for months with Sen. Patty Murray (D-Wash.) on a bipartisan effort to provide funding to bring down ObamaCare premiums, but the effort fell apart in March.

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Some Republican lawmakers continue to try to work around the federal health law’s requirements. That strategy can crop up in surprising places. Like the farm bill.

Tucked deep in the House version of the massive bill — amid crop subsidies and food assistance programs — is a provision that supporters say could help provide farmers with cheaper, but likely less comprehensive, health insurance than plans offered through the Affordable Care Act.

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Americans are active shoppers. Whether purchasing a car, a dishwasher, or a jar of salsa, we rarely buy anything without comparing the price and quality of available options. These days, shoppers have access to a wide array of tools online to inform our quest for value. Our demand for value is the engine that drives competition which, in turn, lowers prices and inspires innovation to improve the quality of the products we purchase.

Yet, when it comes to one of the most important services we receive — our health care — this consumer driven engine sputters.

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President Trump is sending a plan to Congress that calls for stripping more than $15 billion in previously approved spending, with the hope that it will temper conservative angst over ballooning budget deficits.

Almost half of the proposed cuts would come from two accounts within the Children’s Health Insurance Program (CHIP) that White House officials said expired last year or are not expected to be drawn upon. An additional $800 million in cuts would come from money created by the Affordable Care Act in 2010 to test innovative payment and service delivery models.

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A coalition of policy experts from conservative think tanks and advocacy groups is quietly working to spur Congress to take another shot at overhauling Obamacare before the midterm elections.

The group, which includes former Sen. Rick Santorum (R-Pa.), has members from the American Enterprise Institute, the Heritage Foundation, and the Goldwater Institute who have met weekly since Republicans last gave up on trying to repeal the Affordable Care Act. They have met with Republican congressional aides and White House staff to discuss their ideas for turning the health law into a block grant program meant to give states far more control over health insurance regulations.

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The conservative dream of complete Obamacare repeal may be mostly dead, as Vox’s Dylan Scott suggested early this week, but as fans of The Princess Bride know, there’s a big difference between mostly dead and all dead.

The Hill reports that, in an effort to keep their repeal chances from expiring completely, conservative groups led by the Heritage Foundation, the Galen Institute and former Sen. Rick Santorum (R-PA) are hoping to issue a new Obamacare replacement plan this month.

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Former Sen. Rick Santorum (R-PA) told Breitbart News in an exclusive interview that he will soon unveil a new Obamacare block-grant repeal proposal, arguing that the new plan will lower premiums and increase the number of people with health insurance.

Santorum, along with Sens. Lindsey Graham (R-SC) and Bill Cassidy (R-LA), created a new Obamacare block grant repeal approach known as Graham-Cassidy. Graham-Cassidy almost garnered enough support to pass through the Senate last September. Now that Republicans have managed to pass the Tax Cuts and Jobs Act, which repealed Obamacare’s individual mandate, Republicans can capitalize on that momentum to fully repeal and replace Obamacare in 2018.

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Republicans should impose two parameters on any block-grant proposal

  1. States can be given enormous freedom to deviate from Obamacare, so long as people who come to the individual market after paying premiums for group insurance for many years can buy insurance that is similar to what employers offer for a similar premium. (I have previously described how I think this could be done.)
  2. States can offer limited benefit insurance(buying whatever the tax credit will buy and allowing auto-enrollment and potentially insuring an additional 30 million people) provided that they set aside safety net money to take care of the really expensive cases ($1 million premature baby, for example.)

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