Would let states keep Medicaid expansion and allow states that expanded Medicaid to continue getting federal funding as they would have under the A.C.A., until 2020.

Federal funding for people who became newly eligible starting in 2020 or who left the program and came back, however, would be reduced . States that have not expanded Medicaid already would not be allowed to do so in the future.

The bill allows states to impose work requirements for some Medicaid beneficiaries. It proposes capping federal funding per enrollee, based on how much each state was spending in 2016. States also have the option to receive a lump-sum block grant.