Democrats have made it clear: They don't support recommendations from President Bush that would shave an estimated $77 billion from government health programs for seniors and the poor. But Bush doesn't need lawmakers' support for some of the changes that he wants to make to Medicare and Medicaid. He could get about $23 billion in savings over the next five years by issuing new federal regulations.
Students are among those who could be hit by the regulatory changes.
School districts get reimbursed for arranging speech and physical therapy for Medicaid-eligible students. For example, when a student with autism gets speech therapy, the school can seek reimbursement for scheduling the therapy, confirming it gets done and transporting the student to the therapist, said Mary Kusler of the American Association of School Administrators.
The president's regulatory proposal would eliminate Medicaid reimbursement for those services, she said. The administration estimates the savings at $3.6 billion over five years.
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