After months of debate, the Medicaid program emerged from efforts to repeal and replace the Affordable Care Act (ACA) without major legislative changes. Now, however, the Trump administration is encouraging states to apply for waivers that place new conditions on Medicaid eligibility as well as additional costs on beneficiaries in the form of premiums and copayments at the point of service. To better understand the continuing controversy over Medicaid, let's take a look at the waiver program's objectives and how states have used waivers in the past. Are recently proposed state waivers consistent with Medicaid's underlying mission? And are federal and state authorities appropriately evaluating them for their impact on Medicaid populations?
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