Kaiser Health News
Uncertainty in how to pay for programs poses barrier as services provided by home-based palliative care don't fit usual payment model.
Policy has proven to be double-edged sword for ACA's online health exchanges, funneled young, healthy customers away from overall "risk pools."
It will likely also induce insurers to offer much skimpier plans, potentially excluding the gravely ill, putting consumers at greater financial risk.
Nationally, biggest chunk of Medicaid beneficiaries-13.5 million-live in California; state could lose $24 billion in federal funding annually.
Texans on both sides of the political spectrum say the Lone Star State is not going to fare well; state has more uninsured than any other.
GOP bill would transform Medicaid from an open-ended system where federal government matches state spending to one with fixed amount for each state.
New bill to allow the practice would modify previous safety standards, remove a barrier that blocked previous efforts at importation.
Republican Senators Orrin Hatch, Chuck Grassley, Tom Cotton sent letter to the GAO raising possibility of regulatory, legislative changes.
Bill, which passed House in 2003 but didn't advance, was widely panned by groups representing consumers, providers, payer industry, state officials.
In June 2015, about 72,000 got help paying for their insurance, including nearly 4,000 who also received assistance to purchase medication.