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WASHINGTON President Trump first major budget proposal Tuesday will include massive cuts to Medicaid and call for changes to anti poverty programs that would give states new power to limit a range of benefits, people familiar with the planning said, despite growing unease in Congress about cutting the safety net. For Medicaid, the state federal program that provides health care to low income Americans, Trump budget plan would follow through on a bill passed by House Republicans to cut more than $800 billion over 10 years. The Congressional Budget Office has estimated that this could cut off Medicaid benefits for about 10 million people over the next decade. The White House also will call for giving states more flexibility to impose work requirements for people in different kinds of anti poverty programs, people familiar with the budget plan said, potentially leading to a flood of changes in states led by conservative governors. Many anti poverty programs have elements that are run by both the state and federal governments, and a federal order allowing states to stiffen work requirements could have a broad impact in terms of limiting who can access anti poverty payments and for how long. Numerous social welfare programs grew after the financial crisis, leading to complaints from many Republicans that more should be done to shift people out of these programs and back into the workforce. Shortly after he was sworn in, Trump said, want to get our people off welfare and back to work. It out of control. decision to include the Medicaid cuts is significant oakley global business solutions ltd information because it shows he is rejecting calls from a number of Senate Republicans not to reverse the expansion of Medicaid that then President Barack Obama achieved as part of the Affordable Care Act. The House has voted to cut the Medicaid funding, but Senate Republicans have signaled they are likely to start from scratch. Rep. Chellie Pingree, who represents Maine 1st District, sharply criticized Trump proposal Sunday night and vowed to fight it. his budget, President Trump has shown he completely out of touch with everyday Americans, she said in a written statement. now, families across Maine are struggling with major issues ranging from addiction to hunger. President Trump proposal to slash funding for Medicaid and programs that help low income families meet their most basic needs will not only cause these problems to grow it will wreak havoc on our communities and hospitals, which will be forced to deal with these problems without resources. Patricia Hymanson, D York, House chairwoman of the Legislature's Health and Human Services Committee, also issued a statement Sunday night responding to Trump's proposal. single payer health care such as expanded Medicare for all needs to be our national direction," she said in part. cuts in Medicaid, a flawed system, are replaced by true expansion of quality health care for all, shredding the safety net will produce misery for those who are marginalized by chronic illness, addiction, mental illness, low ability or poor access to jobs with benefits. to reach Sens. Susan Collins and Angus King and 2nd District Rep. Bruce Poliquin for comment were unsuccessful. Spokesmen for Gov. Paul LePage were also unavailable, as were some other legislative leaders in Augusta. While 31 states have expanded Medicaid coverage under the Affordable Care Act, LePage has repeatedly vetoed efforts by the Legislature to expand the program, and has cut back the program by reducing eligibility. The governor said this year that by further tightening Medicaid eligibility, he would save $33 million, which he wants to divert to other health and human services programs for the and most vulnerable populations, such as the elderly and disabled. He proposed tightening requirements to make it more difficult for able bodied, low income adults to qualify for the federal health care program. Maine Equal Justice Partners estimated that LePage proposed budget would trim the rolls of Medicaid known in Maine as MaineCare by up to 20,000 people. The proposed changes will be a central feature of Trump first comprehensive budget plan, which will be the most detailed look at how he aims to change government spending and taxes over his presidency. Although Trump and his aides have discussed their vision in broad brushes, this will be the first time they attempt to put specific numbers on many aspects of those plans, shedding light on which proposals they see making the biggest difference in reshaping government. Congress must approve of most changes in the plan before it is enacted into law. Trump offered a streamlined version of the budget plan in March, but it dealt only with the 30 percent of government spending that is appropriated each year. In that budget, he sought a big increase oakley global business solutions ltd directions in military and border spending combined with major cuts to housing, environmental protection, foreign aid, research and development. The people describing the proposals spoke on the condition of anonymity because the budget had not been released publicly and the White House is closely guarding details. The proposed changes include the big cuts to Medicaid. The White House also is expected to propose changes to the Supplemental Nutrition Assistance Program, although precise details couldn be learned. SNAP is the modern version of food stamps, and it swelled after the financial crisis as the Obama administration eased policies to make it easier for people to qualify for benefits. As the economy has improved, enrollment in the program hasn changed as much as many had forecast. An average of 44 million people received SNAP benefits in 2016, down from a peak of 47 million in 2013. Just 28 million people received the benefits in 2008. SNAP could be one of numerous programs affected by changes in work requirements. Josh Archambault, a senior fellow at the Foundation for Government Accountability, a conservative think tank, said that giving states the flexibility to impose work requirements could lead to a raft of changes to programs ranging from Medicaid to public housing assistance. of the encouraging things about putting this in the budget is that states will see if it works, he said. will try it. already has a work requirement, which typically cuts benefits for most able bodied adults who don have children. But states were given more flexibility during the recent economic downturn to extend the benefits for a longer period, something that split conservatives at the time. government spends between $680 billion and $800 billion a year on anti poverty programs, and considering wholesale changes to many of these initiatives is worthwhile, given questions about the effectiveness of how the money is spent. not seeing the type of gains we should be seeing for all that spending, and that would suggest its time to reform the system, he said. Many critics have said work requirements can include blanket ultimatums that don take into account someone age, physical or cognitive ability, or limitations put in place by the local economy. Benefits from these programs are often low, and hardly replace the income someone would earn from a job. And critics of stricter work requirements also believe it could pave the way for states to pursue even stricter restrictions, such as drug tests, that courts have often rejected. The proposed changes to Medicaid and SNAP will be just some of several anti poverty programs that the White House will look to change. In March, the White House signaled that it wanted to eliminate money for a range of other programs that are funded each year by Congress. Interagency Council on Homelessness, which coordinates the federal response to homelessness across 19 federal agencies. OTHER ANTI POVERTY FUND CHANGES Leaked budget documents, obtained by the think tank Third Way, suggested other ways the White House plans to change anti poverty funding. These documents show a change in the funding for Social Security Supplemental Security Income program, which provide cash benefits for the poor and disabled. It unclear, though, what those changes might look like. A White House official said the Third Way document was out of date and would not comment on specifics in their files. Medicaid, SNAP, and the SSI program are now classified as spending because they are funded each year without congressional approval. Trump has instructed his budget director, former South Carolina congressman Mick Mulvaney, that he does not want cuts to Medicare and Social Security retirement program in this budget, Mulvaney recently said, but the plan may call for changes to Social Security Disability Insurance, seeking ideas for ways to move people who are able out of this program and back into the workforce. The tax cuts would particularly benefit the wealthiest Americans, as Trump has proposing cutting the estate tax, capital gains and business tax rates. indications are strong this budget will feature Robin Hood in reverse policies in an unprecedented scale, said Robert Greenstein, president of the Center on Budget and Policy Priorities, a left leaning think tank.

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