Centers for Medicare & Medicaid Services

Reduce federal incentives for states to expand Medicaid coverage.

Nota: Enacted as part of reconciliation bill.

Impose Medicaid work requirements.

Nota: Enacted as part of reconciliation bill.

Reinstate private-sector drug price negotiation program (repeal part of the Inflation Reduction Act's Medicare Part D reforms).

Nota: Republicans weakened Medicare drug price negotiation as part of the reconciliation bill.

Make Medicare Advantage the default enrollment option.

Impose time-limits on how long low-income people can receive Medicaid in their lifetime.

Allow states to control Medicaid by transforming the program into a block grant or imposing per capita caps.

Allow states to amend their Medicaid programs without waivers oversight.