Pence aims to shift Obamacare’s power to states, promoting decentralization.
Presidential hopeful Mike Pence pledges to restructure Obamacare for greater state flexibility
“Our top-down system needs to be reformed,” the Pence campaign said in a statement. “States should have the ability to allocate healthcare dollars toward policies and plans that work best for their populations.”
Former Vice President Mike Pence, a contender for the presidency, announced on Wednesday that a key aspect of his healthcare policy would involve revamping Obamacare to grant states more flexibility in administering low-income health services.
Pence’s full statement criticizes Obamacare as a program that “created a federally controlled healthcare system that included new mandates and costly requirements for states.”
While specific policy details are not outlined in Pence’s statement, he emphasizes the importance of providing federal funds to states through flexible block grants instead of categorical grants with strings attached. This approach would grant state lawmakers greater independence in establishing their own insurance subsidies and low-income healthcare services.
Repealing Obamacare was a central focus of the Republican primary during the 2016 election, with many candidates, including former President Donald Trump, vowing to replace President Barack Obama’s signature domestic achievement with a conservative alternative.
Despite several attempts made during the Trump-Pence administration to fulfill this promise, Republicans ultimately failed and lost control of the House to the Democrats in the 2018 midterm elections.
One of the proposed changes to Obamacare in September 2017 involved distributing equal Medicaid funding to states in the form of block grants and allowing states to implement work requirements without prior authorization from the Department of Health and Human Services.
Pence’s announcement regarding Obamacare aligns with his broader agenda of strengthening the Founding-era concept of federalism, which aims to distribute power more evenly between the states and the national government.
“Returning political power back to the states, cities, and communities gives Americans the greatest autonomy and freedom over their own lives,” Pence stated.
During his tenure as Indiana governor, Pence accepted increased Medicaid funding under the Obamacare expansion. However, he introduced several conservative provisions to the program’s administration in the Hoosier State, making it a model for other Republican-controlled states seeking to balance federal funds with their own ideologies.
The Healthy Indiana Plan 2.0, as described in a 2016 op-ed by Pence, differed from traditional Medicaid systems due to its inclusion of a job training program and consumer-driven health savings account provisions. Within the first year, the plan successfully reduced emergency room visits, increased preventative care and routine check-ups, and alleviated strain on the state’s healthcare system.
During the Trump-Pence administration, the Centers for Medicare and Medicaid Services granted waivers to 13 states, allowing them to implement work requirements for individuals to receive Medicaid coverage. However, these waivers were swiftly revoked by the new leadership at the Department of Health and Human Services under the Biden administration.
Other former governors in the GOP primary field, such as Nikki Haley, Chris Christie, and Asa Hutchinson, also embraced the Obamacare Medicaid expansion during their respective tenures. The only governor in the GOP race who did not accept federal funds to expand the Medicaid program in their state is Ron DeSantis of Florida.
After officially meeting the minimum requirement of 40,000 individual donors on Monday, Pence has qualified to join his competitors on the debate stage on Aug. 23.
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