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Perhaps most egregious is the Part D prescription drug benefit plan which went into effect on January 1, 2006. It eliminated federal funding for secondary prescription drug coverage through Medicaid for the poorest Medicare beneficiaries, leaving them with few viable alternatives for securing their costly prescriptions. The law also created a gap known as the "donut hole" that caps the benefit for Part D beneficiaries who meet an initial coverage limit, forcing them to pay the full costs for any drugs they need beyond that limit unless they reach the "catastrophic coverage" ceiling
The Administration supports restructuring Medicaid from an entitlement program, in which everyone who is eligible may be enrolled, to a block grant, which provides only a finite allotment of funds to each state...
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