Trump border czar Tom Homan threatens to cut federal funding to states who refuse mass deportation - Daily Kos

[dutch777]

7. Treasury could stop wiring money with possible legal consequence as Congress controls the purse strings & at some point

...it would be contrary to legislated intent and the law. Of course new legislation could be passed under the new regime giving Treasury and maybe even the border czar some authority under defined conditions to withhold approved funding. That said I worked in public hospital administration and it was quite common for federal Medicare/Medicaid payments to be in arrears two years on our legitimate and uncontested billings to them. Just the way they were and that has gone on for decades. We learned to cash flow the operation such that when we did get Federal funds it was just a windfall that went in the bank and we ran on zero margins day to day to get by. Maybe why over 130 hospitals have closed in the US in the last decade, most of them rural and the last critical access medical facilty for maybe hundreds of miles. And people wonder why for profit hospitals won't take Medicare/Medicaid patients unless it is thru the ER where they must treat them by law but once stabilized can they toss them back on the street.