January 27, 2020
The plan — called “the Healthy Adult Opportunity” — would allowing states to opt out of part of the current federal funding program and instead seek a fixed payment each year in exchange for gaining unprecedented flexibility over the program. The Administration said the new program would allow states to offer patients more benefits while controlling government spending. States would not be required to switch to the new model. It will be optional, and states interested in it would have to seek authority from the federal government.