In December last year, the Texas Public Policy Foundation released a report that I co-authored with colleagues from Leavitt Partners. The report focused on how the state of Texas should reform the long-term care components of the program to stay within the confines of a fixed Medicaid budget, such as would be the case with a block grant.
This week, TPPF released a follow-on report outlining the broader reform strategy for the Medicaid program. The report describes in some detail the provisions which should be included in federal legislation to convert Medicaid into a block grant. It then also describes what the state of Texas should do once it gets a block grant to provide more cost-effective services to its citizens. In short, the report provides a roadmap for making a Medicaid block grant work at both the federal and state levels of government and should be of interest to state policymakers in all fifty states.
James C. Capretta is a senior fellow at the Ethics and Public Policy Center.