their health care. there is a chance it will be left alone and medicaid expansion will stay as is. if the healthcare proposal is revised and includes giving the states flexibility but allowing states to use money, we will see reduction in growth over time and that will reform the program but it will only happen if there is revival of brought healthcare proposal by republicans, the only way medicaid will get changed, otherwise we will see medicaid expansion under obamacare remain as is. eric: there is a threat from the president another tweet, the subsidy. if a new health care bill is not approved quickly, bailouts for insurance companies and bailouts for members of congress will end very soon. is he referring to the 7 billion-dollar subsidies and what specifically is he referring to when he talks about bailouts for members of congress? he is saying they are not going to put money into
strengthens and secures medicaid for the neediest in our society. this bill would impose fundamental sweeping changes in the medicaid program and those include very deep cuts. that would affect some of the most vulnerable poeople in our society. you can t take more than $700 billion out of the medicaid program and not think that it s going to have some kind of effect. which is it? helpful to the most vulnerable or harmful? if you look at the people that took medicaid expansion under obamacare, a lot of them are what they call able bodied, single adults, not the most destitute people for whom the program was designed to help. we talk about repealing back the expansion and turning back to the states, i m all for it. the states can be the laboratories of innovation. they can have work requirements,
medicaid will be at the center of the negotiations. you saw yesterday that a number of moderate senator republicans expressing serious concerns especially regarding the impact that this could have on constituents who depend on medicaid. let me walk through what the bill would do to the program. put it simply, it would make drastic changes to the program. states would get a set amount of money, either per enrollee or in the form of a block grant and essentially this means states rather than the federal government would have bigger responsibility to administer the program. now, another important piece of this, wolf is that there would be a phaseout of the federal funding for medicaid expansion by 2024. this would be more gradual than the house bill, but either way, the effects are huge on, you noi, people who live in states that expanded medicaid. we are talking about 11 million people who gained coverage through medicaid expansion under obamacare. this gives perspective why this
a super-sized medical center. we re constantly growing. reporter: kentucky river community care now has 70 facilities, has hired more than 150 employees in the last few years and can t expand fast enough. how big a piece of the fact that they can pay for it with medicaid. 80%. for our programs we have to look at revenue to expand. reporter: health care jobs on the rise here, ending the medicaid expansion, another devastating blow. miguel marquez, cnn, hazard, kentucky. i want to bring in someone who literally wrote the book on kentucky s appalachian region, hillbillyology, memoir of a culture in crisis. jamie, thanks for joining me today. 1.3 million kentuckyians are on medicaid today. one-third are covered by that medicaid expansion under obamacare. this is trump country.
they needed 216 votes and got 217. priebus says, look, republicans are not in danger. sometimes in life you have to do what s right, not what s politically expedient. we believe this is going to be a better product, and by the time that people see that the premiums are lower, it s a better service, there are more options and more choices, they re going to reward the republicans that stood up and said we re not going to see the obamacare system which is failing and collapsing to continue any longer. reporter: priebus went on to say that he expects senate majority leader mitch mcconnell to work with senate republicans to come up with improvements to the original house bill. the question is, what kind of changes are we going to see to the bill? we ve already seen a number of senate republicans speak out against the bill. one of the concerns are the medicaid cuts. we re talking about $880 million over the course of ten years which means you have millions of americans who received i