Trump's health care fix, touted in his SOTU speech.

This is a link to an official government press release.

Trump Administration Announces Transformative Medicaid Healthy Adult Opportunity
https://www.cms.gov/newsroom/press-releases/trump-administration-announces-transformative-medicaid-healthy-adult-opportunity

Today, the Centers for Medicare & Medicaid Services (CMS) announced the Healthy Adult Opportunity (HAO), which is an optional demonstration initiative. It is designed to give states unprecedented tools to design innovative health coverage programs tailored to the unique needs of adult beneficiaries, while holding states accountable for results and maintaining strong protections for our most at risk populations.

These innovations deliver on the Trump Administration’s promise to improve health outcomes and care for our most vulnerable. The Healthy Adult Opportunity puts patients first through state flexibility, accountability, and patient protections. It is designed to provide states with an opportunity to meet the needs of their adult beneficiaries under age 65 who aren’t eligible on the basis of a disability or their need for long-term care and for whom Medicaid coverage is optional for states. Other low-income adults, children, pregnant women, elderly adults, and people with disabilities will not be directly affected – except from the improvements that result from states reinvesting savings to improve and sustain Medicaid for everyone.

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Modulo the rah rah spin, it looks to me like an open invitation to serious corruption at the state level.