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Congressional Legislation Details

Title as Introduced:

Rep. Rokita's State Health Flexibility Act

Bill Number:



Replaces the current FMAP formulaic approach to Medicaid and S-CHIP funding with a lump sum block grant from the federal government to the states.

Bill Sponsor


Our Position:

We support this bill.
Dear Representative Rokita,

On behalf of more than 1.9 million Americans for Prosperity activists in all 50 states, I write in strong support of your recently introduced State Health Flexibility Act, H.R. 4160. Your bill converts funding for Medicaid and the State Children’s Health Insurance Program (S-CHIP) into a block grant, giving states more flexibility to set their own eligibility criteria, control costs, and improve care quality through innovation.

The current Medicaid program is broken. Costs have skyrocketed, with combined state and federal spending nearly doubling from 2000 ($206 billion) to 2009 ($378 billion). It is now the single largest line item on most states’ budgets, consuming well over 20 percent of total state spending and costing more than K-12 education programs. Studies also show that care quality for Medicaid and CHIP recipients is poor, with recipients in those programs experiencing notably worse health outcomes than Americans with private insurance.

Click here to read AFP's full letter of support!

Click here to read more about the advantages of block grants for Medicaid from AFP Foundation!


Referred to House Appropriations


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