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Cutback Imperil Health Coverage For State's Poor
 By Robin Toner and Robert Pear (NYT) April 28, 2003  | News & Links | 
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ABSTRACT - Millions of low-income Americans face loss of health
 insurance
 or sharp cuts in benefits under proposals now moving through
 state
 legislatures around country; state officials, confronting third
 straight year of
 fiscal crisis, say they have no choice but to rein in Medicaid,
 fast-growing
 program that provides health insurance for 50 million people;
 many state
 officials are pleading for federal help as they face array of
 painful trade-offs,
 often pitting needs of impoverished elderly people for
 prescription drugs and
 long-term care against those of low-income families seeking
 basic health
 coverage; almost every state has made or is planning cuts in
 benefits, eligibility
 or payments to health care providers; moderate Republicans on
 Capitol Hill
 have joined Democrats in seeking legislation that would provide
 additional
 federal aid for Medicaid, which is financed by federal
 government and states;
 Bush administration opposes such legislation, saying Medicaid
 is unsustainable
 in its current form and should be revamped to give states
 expanded power to
 run it; photo; maps (L) Millions of low-income Americans face
 the loss of
 health insurance or sharp cuts in benefits, like coverage for
 prescription drugs
 and dental care, under proposals now moving through state
 legislatures around the country. 
 State officials and health policy experts say the cuts will increase the number of uninsured, threaten recent progress in covering children and impose severe strains on hospitals, doctors and nursing homes.  | |