Current Events > GOP planning to extend Medicaid Expansion in return for larger cuts overall

(+) Yeah! (+)

http://thehill.com/policy/healthcare/333007-portman-toomey-tasked-with-medicaid-talks

That is the compromise most likely to arise from the discussions between Toomey and Portman. Calling something a block grant and then capping it sounds less like a program cut than ending medicaid expansion, and it's also farther down the road (probably at least two elections) so most senators will have little incentive to oppose it
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