Medicaid has grown in size in recent years, with ObamaCare extending coverage to millions of low-income people who hadn’t qualified before. But Republicans warn of the program’s growing costs and have pushed to provide that money to states in the form of block grants — an idea President-elect Donald Trump endorsed during the campaign.

Vice President-elect Mike Pence signaled in an interview with ABC this month that the incoming administration planned to keep Medicare as it is, while looking at ways to change Medicaid.

“I think President-elect Trump made it very clear in the course of the campaign that, as president, we’re going to keep our promises in Social Security and Medicare,” Pence told ABC. “With regard to Medicaid, though, I will tell you, there’s a real opportunity, there’s a real opportunity as we repeal and replace ObamaCare to do exactly what the president-elect also said on the campaign, and that is block granting Medicaid back to the states.”

. . .

As Republicans prepare to undo the Affordable Care Act, defenders of the law warn that repeal will leave millions of seriously ill people unable to buy health insurance. President Obama claims repeal will mean going back to discriminating against Americans with pre-existing conditions.

In truth, ObamaCare discriminates against healthy people who have to buy their coverage in the individual market. ObamaCare forces them to pay the same price as the chronically ill, whose medical costs are ten times as high, on average.

. . .

 Repealing Obamacare will be the first priority of congressional Republicans when Donald Trump takes office in January, House Speaker Paul Ryan told CBS’s “60 Minutes.” “Well, the first bill we’re going to be working on is our Obamacare legislation,” he said in an interview airing Sunday night, though he declined to offer a timetable. “We want to make sure that we have a good transition period, so that people can get better coverage at a better price.” When pressed by anchor Scott Pelley, who asked about a three-year transition, Ryan said, “I don’t know the answer to that right now. What we know is we have to make good on this promise. We have to bring relief as fast as possible to people who are struggling under Obamacare.”

. . .

House and Senate budget leaders are teeing up a vote to repeal most of ObamaCare by Jan. 20, 2017, according to multiple sources. The leaders of the House and Senate Budget committees are planning the vote for the first week of January, to deal an immediate blow to ObamaCare after President-elect Donald Trump’s inauguration, according to a Senate GOP aide. Another source off Capitol Hill said the Trump transition team has signed off on the plan and that the traditional vote-a-rama process could take place as early as Jan. 5.
. . .

House Republicans are taking pole position in repealing and replacing ­ObamaCare with Donald Trump’s pick of Tom Price as secretary of Health and Human Services.

The Republican lawmaker from Georgia, a confidant of Speaker Paul Ryan(R-Wis.) and Vice President-elect Mike Pence, is a former physician with a deep understanding of both the thorny politics and wonky details of healthcare.

. . .

State leaders are positioning themselves to have a key voice in a potential rewrite of ObamaCare next year.

With the election of Donald Trump, Republican leaders in Congress have promised a dramatic overhaul of President Obama’s signature policy.

The National Governors Association (NGA), a proudly bipartisan group representing every state, is now eyeing a more public — and more aggressive — role alongside GOP leaders as they attempt to gut the massive federal program.

. . .

The White House is urging people to sign up for coverage through ObamaCare, hours after the Republican electoral sweep that likely dooms the healthcare law’s future.

Spokesman Josh Earnest said Wednesday the Obama administration remains committed to its enrollment drive, which opened Nov. 1.

“There is no specific thing in mind that we’re going to do differently now,” Earnest said as he addressed reporters for the first time since President-elect Donald Trump declared victory.

. . .

Speaker Paul Ryan (R-Wis.) on Monday agreed with a radio host who said ObamaCare would not be repealed, likely ever, if Democratic nominee Hillary Clinton wins the presidency on Tuesday.

“Another hard truth: ObamaCare doesn’t get repealed, likely ever, if Hillary wins,” said Milwaukee radio host Jay Weber in an interview with Ryan. “Doesn’t get repealed. Agree?”

“Yes, yeah, I do agree. I do agree,” Ryan responded. “Hillary’s talking about a public option, which is basically double down on government-run healthcare. That’s the opposite of what we’re offering. We actually have a plan to replace ObamaCare. All of us have basically gotten a consensus on what our plan is, but we have to win an election to put it in place.”

Speaker Paul Ryan (R-Wis.) on Wednesday embraced Donald Trump’s call for a special session of Congress to repeal ObamaCare.

Ryan, who has at times had a tense relationship with Trump, the Republican presidential nominee, also said repeal of ObamaCare is a reason why Trump should be president.

“Imagine if we had a Republican president,” Ryan told radio host Hugh Hewitt. “This is what Donald Trump is talking about — a special session. We’ve already proven this year with a Republican House and a Republican Senate we can have that special session, and we can repeal, and we can replace ObamaCare.”

. . .

One of the most popular pieces of ObamaCare could be hurting the administration’s push to attract more young people into the wobbly marketplace, according to several people who helped shape the law.

The administration is staging campus enrollment drives and pouring money into Facebook and Instagram ads this year in an attempt to boost ObamaCare enrollment among young adults. The sign-up period begins Tuesday.

Yet there’s a fundamental flaw in the effort — and it has to do with ObamaCare’s design.

Because of the healthcare law, the White House says nearly 3 million young people under the age of 26 have been able to stay on their parents’ insurance plans and don’t have to shop for coverage on HealthCare.gov.

. . .