Repeal IRA Medicare drug “negotiation” and shift Medicaid to caps/block grants with work rules
Mandate seeks repeal of Inflation Reduction Act drug price negotiation, Medicaid financing via caps/block grants, ending enhanced ACA match, work requirements, time limits, and private-coverage diversion of Medicaid dollars.
Mandate
Mandate Ch. 14 (HHS) — Medicare Part D / Medicaid: repeal IRA drug price negotiation program; Medicaid financing via flexible predictable mechanisms including block grants/aggregate or per capita caps; end financing loopholes; replace enhanced match; add work requirements and targeted time limits; allow private insurance diversion of Medicaid dollars; add Section 1115 work requirements while rescinding non-health benefits.
Undo plan
1) Defend IRA negotiation/Part D redesign against repeal; restore any gutted negotiation authority.
2) Reject Medicaid block grants/per capita caps that shift risk to states and cut enrollment.
3) Rescind work requirements and time limits that terminate coverage for eligible people.
4) Maintain FMAP structures that support expansion populations and hospital uncompensated-care reforms with transparency—not enrollment cuts.
5) Verify: uninsured rates; Medicaid churn; drug list prices and beneficiary OOP.