States may get more flexibility in managing Medicaid
This is good news for the states and potentially for the patients. One of the reasons states like Texas rejected Medicaid expansion under Obamacare is that they did not want to be locked into future appropriations to fund the program. They already feel that the funding of it is out of control and taking up an ever growing portion of the state's budget. They feel that regulations that come with Medicaid unnecessarily drive up the cost of care. Giving the states more control of the program could result in better care for less money.
Donald Trump’s nomination of Seema Verma suggests states will be given more power to remodel their Medicaid programs.