10th Amendment Legislation

TASK FORCE BILL OF THE WEEK: H.R. 567, The State Health Flexibility Act

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Washington, May 22, 2013 | comments
The State Health Flexibility Act (H.R. 567), an RSC Policy Solution led by Rep. Todd Rokita, converts the federal share of the Medicaid and the Children's Health Insurance Program (CHIP) into a block grant to the states.  This bill will result in greater accountability and affordability by giving states complete authority and flexibility to tailor these programs to what will work best for their citizens.  Transitioning into a block grant program could save the federal government nearly $1.8 trillion over the next ten years. Additionally, this bill repeals Obamacare and the Medicaid expansion it authorized.   A bill similar to H.R. 567 was an RSC initiative led by Rep. Rokita during the 112th Congress, and was included in the RSC Budget during the 113th Congress

The State Health Flexibility Act provides states predictable federal funding and promotes Maximum Flexibility for States:

  • Federal funding for Medicaid and CHIP will be combined into a single block grant. States may spend their own funds at whatever level they choose.
  • The states will have sole authority to determine eligibility, benefits, provider reimbursement rates, and to improve the quality of care and access to vital services. States may use up to 30% of their federal funding to support other welfare programs, including Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), and Food Stamps if the need is greater in those areas
  • Each state may use a portion of its block grant to establish a Rainy Day Fund to prepare for potential spikes in program enrollment that might arise from periods of high unemployment or other unforeseen circumstances.
  • States will no longer be forced to wait months and sometimes years negotiating waiver-requests from HHS in order to implement their own reform ideas.

To co-sponsor, please contact Tom Borck with Rep. Rokita's office, tom.borck@mail.house.gov.

* For questions on the TATF or to have a bill highlighted, please contact Devin Wiser with Rep. Rob Bishop’s office at devin.wiser@mail.house.gov.

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