(AP Photo/ Evan Vucci)

President Trump's Budget Proposal

President's budget plan seeks work requirement for Medicaid

March 11, 2019 - 5:45 pm

WASHINGTON (AP) — President Donald Trump's 2020 budget plan calls for a nationwide work requirement for low-income adults getting health insurance through the federal-state Medicaid program.

A national work requirement would reduce Medicaid spending by $130 billion over 10 years, according to the budget. Independent experts and advocates say that's partly because it would leave millions uninsured.

Until now the Trump administration has given states the option of imposing their own work requirements. Some have done so, only to be taken to court.

The budget says "able-bodied, working-age" Medicaid recipients would have to find work, train for work, or volunteer. It's part of the administration's drive to require work in anti-poverty programs, including food stamps.

The nonpartisan Kaiser Family Foundation estimates that 1.4 million to 4 million low-income people could lose Medicaid coverage.


President Donald Trump's proposed government spending plan would cut funding for diplomacy and development by about 24 percent.

But Congress has twice rejected the Trump administration's attempts to slash the foreign affairs budget and is likely to do so again.

Trump's 2020 budget proposal seeks $43 billion for the State Department and the U.S. Agency for International Development. That's roughly $726 million more than the administration sought in the 2019 budget, but it's at least $13 billion less than what Congress approved. It's also about $14 billion less than what lawmakers approved for 2018.

The cuts in the new spending plan would come largely from sharp reductions in funding to international organizations like the United Nations, global health and refugee programs and a reorganization of USAID.


The White House's top budget official is defending the Trump administration's economic forecasts.

Acting budget director Russell Vought briefed reporters Monday on President Donald Trump's 2020 spending blueprint. He said gross domestic product grew by 3.1 percent in the 2018 fiscal year.

Vought says the administration met its economic forecasts two years in a row although critics said it was "guilty of wishful thinking."

Vought claims the Trump administration is the first to ever meet its economic forecasts two years running.

Trump on Monday proposed a record $4.7 trillion spending plan for the budget year that begins Oct. 1.


President Donald Trump's budget proposes a hard limit to what Medicare beneficiaries have to pay for prescription medications, an idea with bipartisan support in Congress.

The Medicare prescription drug benefit was enacted more than 15 years ago, before drugs costing $1,000 a pill or more came along. Right now beneficiaries with high costs face a co-pay of just 5 percent, but that can still amount to thousands of dollars for the most expensive medications.

The actual dollar amount of the cost cap would be determined in conjunction with Congress. One lawmaker's proposal would set the limit at about $2,650.

The cap on cost sharing is part of several changes the budget would make to Medicare's popular "Part D" prescription benefit. It's not clear if all will find support.


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