Expanded eligibility for Medicaid is an important part of the Affordable Care Act, and the AHCA would reverse this expansion. (Photo: iStock)

Obamacare, President Donald Trump is fond of saying, is a “complete and total disaster” and must be replaced. Yet one of the most significant features of his party’s proposed replacement has little to do with Obamacare.

The American Health Care Act would drastically reshape Medicaid — ending the federal government’s long-running, open-ended commitment to help states pay for care for the poor. Instead, in 2020, Washington would make limited per capita contributions that would shrink as a share of costs with every passing year.

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