面对GOP计划削减8 800亿美元的计划,各州保护《宪法》中医疗补助的扩大。 States protect Medicaid expansion in constitutions, facing GOP plan to cut $880 billion.

各州在其宪法中规定扩大医疗援助计划,使GOP削减8 800亿美元的方案的努力复杂化。 States have enshrined Medicaid expansion in their constitutions, complicating GOP efforts to cut $880 billion from the program. 共和党人四分五裂,一些人大力要求大幅削减,另一些人则威胁反对任何削减。 Republicans are divided, with some pushing for deep cuts and others threatening to oppose any reduction. 联邦政府可以降低其供资匹配率,将费用转移到各州,并有可能覆盖超过2 000万人。 The federal government may lower its funding match rate, shifting costs to states and risking coverage for over 20 million people. 同时,反对者认为,削减会伤害弱势群体并损害获得医疗保健的机会。 Meanwhile, opponents argue the cuts would harm vulnerable groups and undermine healthcare access.