To amend title XIX of the Social Security Act to increase payments to States with respect to outreach and enrollment under the Medicaid program.
2-2 split: Hamilton and Marshall deem CONSTITUTIONAL under taxing/spending for general welfare and necessary and proper clause; Madison and Jefferson deem UNCONSTITUTIONAL as exceeding enumerated powers and violating state sovereignty.
Medicaid Outreach Performance Grants Act
Honors Democratic priorities of expanding healthcare access for vulnerable populations through higher enrollment; honors Republican priorities of fiscal restraint via hard caps, performance metrics, state flexibility in program design, and automatic sunset to prevent open-ended s…
Path: ~235 House votes: 210 D access advocates + 25 R fiscal hawks with caps; ~58 Senate votes: 49 D + 9 R from rural health caucus.
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