Besides creating block grants, the Graham-Cassidy bill would make deep cuts in Medicaid. It would end the expansion of eligibility under the Affordable Care Act, which has provided Medicaid coverage to 13 million people. And it would put the entire program, which serves more than 70 million people, on a budget, ending the open-ended entitlement that exists. States would instead receive a per-beneficiary allotment of federal money.
Republicans were trying desperately to round up votes for the Graham-Cassidy bill before the end of next week, when the measure will lose the procedural protection that allows it to pass with a simple majority, rather than the 60 votes that would otherwise be required.
While Republicans like the idea of federalism and block grants, many wanted to know how their states would be affected. Under the legislation, states with high health care costs — especially if they expanded Medicaid under the Affordable Care Act — would generally lose money, while low-cost states that did not expand Medicaid would gain.
The Republican governors who signed the letter opposing the latest Republican repeal plan were John R. Kasich of Ohio, Brian Sandoval of Nevada, Charlie Baker of Massachusetts and Phil Scott of Vermont.
Two other Republican governors, Mr. Sununu and Larry Hogan of Maryland, expressed similar concerns in separate statements.
“The Graham-Cassidy bill is not a solution that works for Maryland,” Mr. Hogan said. “It will cost our state over $2 billion annually while directly jeopardizing the health care of our citizens.”
Mr. Graham and Mr. Cassidy have cited Maryland as a state that, in their view, has been receiving more than its fair share of money under the Affordable Care Act.
Mr. Sununu said he could not support the Graham-Cassidy proposal because “New Hampshire could possibly lose over $1 billion in Medicaid funding between 2020 and 2026.” He said such a cost shift would be a particular problem for his state because “New Hampshire is proud of its tradition of not having an income tax or sales tax.”Rand Paul and Susan Collins have already signaled "No" votes. This means that it is up to Lisa Murkowski to scuttle the bill, which shouldn't be a problem for a politician who won a general election to the U.S. Senate as a write-in.
Can there be a bigger whore than Lindsey Graham? In criticizing Trumpcare, he postured and preened as a defender of moderation and fairness, only to end up voting for it in a losing effort. Now he is actually sponsoring a new version of Trumpcare. That bitch Graham will do anything for a buck.