The Republican congress is scattershot. The Republican president is temperamental. This is what the Joint Finance Committee has to deal with when looking a repeal of the Affordable Care Act and its repercussions in the state.
Projected growth in Medicaid spending is modest compared to years past, at $13.3 million for fiscal year 2018. In the current year, Delaware will pay about $760 million for its share of the program.
In an effort to reduce future costs, his fellow co-chair, Rep. Melanie George Smith (D-Bear), said Delaware could look into requiring adults on Medicaid to take steps toward better long-term health in exchange for added benefits.
Such a change would need approval from the Centers for Medicare and Medicaid Services.