From CBS News here:
GOP lawmakers want states to receive fixed federal sums per beneficiary. These would likely be less generous than today’s payments, which generally cover costs automatically. They’d give more power to states to decide who and which services are covered, and phase out Obama’s expansion for additional lower-earning people that 31 states accepted.
As soon as you see giving states more power to decide who and what you know blacks, Latinos, and immigrants and gays and women are about to get fucked over.
It sounds like freedom — give states the choice, but it’s not. It’s a long running but quietly inhumane conservative philosophy.