- With Trump's Victory, GOP Hopes to Overhaul Medicaid Associated Press by Christina A. Cassidy—When President-elect Donald Trump takes office in January, Republicans will have the opportunity to pull off something they have wanted to do for years—overhaul Medicaid, the program that provides health care to tens of millions of lower-income and disabled Americans. Any changes to the $500 billion-plus program hold enormous consequences not only for recipients but also for the states, which share in the cost. Trump initially said during the presidential campaign that he would not cut Medicaid, but later expressed support for an idea pushed for years by Republicans in Congress—sending a fixed amount of money each year to the states in the form of block grants. Backers say such a change in the Medicaid formula is one of the best ways to rein in spending, but critics say big cuts would follow
