How to Make Medicaid Better, More Accountable & More Affordable

Every state runs its own Medicaid program, but the federal government provides more than half the money and a one-size-fits-all set of rules. It can take months or years for states to get approval for their own changes and reforms. Costs rising at warp speed put enormous strain on state and federal budgets, and countless fraudulent claims are paid out every year. Those who truly need help often struggle to find a doctor and get inadequate care.

President Obama talks a lot about fairness these days. Well, is it fair to the poor when Medicaid promises care but doesn’t deliver? Is it fair to our children to borrow and spend trillions on a program rife with fraud and failure? ObamaCare will make all of these problems even worse, which is yet one more reason to repeal it.

Conservatives introduced the State Health Flexibility Act last week because Medicaid should work better. State officials are more accountable to their citizens and understand their needs and priorities better than federal bureaucrats at the Department of Health and Human Services. Giving states maximum flexibility to innovate and improve their programs will lead to better care for their most vulnerable citizens. In exchange, the bottomless pit of federal taxpayer money would become a predictable and more affordable funding stream. As the chart below illustrates, we can save $1.8 trillion without even cutting a penny from current federal spending.



Governors like Rick Perry, Bob McDonnell, Nikki Haley, Rick Scott, and Chris Christie have all called for an end to Washington’s one-size-fits-all control over Medicaid. The State Health Flexibility Act shows how to do it.

God Bless,

Congressman Jim Jordan


RSC Media Activity – RSC members work hard to ensure that the conservative viewpoint is well-represented in all corners of the media. Visit our Media Center for more.


RSC Member Activity – RSC members make it a priority to introduce productive, conservative solutions for America’s future.

  • Rep. Cathy McMorris Rodgers (WA-05) sent a letter to Sec. of the Treasury Geithner warning him that the Administration cannot bypass Congress to increase IMF funding.
  • Rep. Cory Gardner (CO-04) introduced H.R. 4136, legislation which triggers the Secretaries of Energy, Agriculture, and the Interior to develop a plan to increase the percentage of federal lands leased for oil and gas production by what is being depleted from the Strategic Petroleum Reserve.
  • Rep. Kevin Brady (TX-08) introduced H.R. 4180, the Sound Dollar Act, legislation which transforms the mission and operations of the Federal Reserve to lay the foundation for strong economic growth for America in the future.
  • Rep. Paul Broun, M.D. (GA-10) introduced H.R. 4171, the Freedom from Over-Criminalization and Unjust Seizures Act (FOCUS) Act of 2012. The legislation prevents the federal government from applying foreign law to American citizens and businesses.
  • Rep. Trent Franks (AZ-02) sent a letter to President Obama requesting that his Administration express support for Israel during this time of great uncertainty from the growing threat Iran’s nuclear advances pose.


House Floor Activity – The following key legislation came through the House of Representatives recently.


Outlook – A quick look at what’s on the horizon.

  • This week, the House is not in session as Members head back home for a Constituent Work Week.
  • This Friday is James Madison’s birthday. He was the 4th President of the United States.
  • This Saturday is St. Patrick’s Day.


RSC Reports

  • RSC Staff recently compiled a Policy Brief detailing the President’s FY 2013 Budget.
  • Stay up to date on budget and spending news with reports from the RSC Budget and Spending Task Force.
  • Check out the RSC Sunset Caucus’ work to shrink the size of government and the Repeal Task Force’s work to eliminate bad laws and regulations.
  • House rules now require sponsors of legislation to provide a Constitutional Authority Statement that explains how Congress has the constitutionally-derived authority to enact their proposals. Click here to see liberals’ highly questionable attempts.
  • Read the RSC Money Monitor to track how bills passed by the House affect budget authorizations, mandatory spending, and federal government revenue.