NRHA policy on Medicaid reform:
NRHA supports state flexibility in principle; however, turning Medicaid into a block grant program is likely to have a disproportionate impact on rural beneficiaries and rural providers. NRHA supports the continuation of Medicaid as a program where all individuals who meet eligibility requirements are covered. NRHA also supports a basic level of benefit protection for mandatory and optional beneficiaries, inclusion of elderly and disabled in the definition of "mandatory population," and inclusion of long-term care in the definition of "mandatory benefits." Any current or future federal Medicaid reform proposals should include provisions for a rural impact study of state practices with block granted programs in the past.
See the full NRHA policy paper on Medicaid Reform in Rural America for more information.