The House GOP has released its plan to cut Medicaid spending, with the most significant changes affecting eligibility requirements and how states can finance Medicaid. However, some of the biggest sticking points were left out of the bill, including changes to per-capita caps on federal Medicaid payments to states. 

“Undoubtedly, Democrats will use this as an opportunity to engage in fear-mongering and misrepresent our bill as an attack on Medicaid,” House and Energy Commerce Committee Chairman Brett Guthrie (R-KY) wrote in the Wall Street Journal. “In reality, it preserves and strengthens Medicaid for children, mothers, people with disabilities and the elderly — for whom the program was designed.”