The Alliance joined other organizations in urging Hon. Mitch McConnell, leader, U.S. Senate; Hon. Chuck Schumer minority leader, U.S. Senate; Hon. Paul Ryan, speaker, U.S. House of Representatives; and Hon. Nancy Pelosi minority leader, U.S. House of Representatives to “reject proposals to make radical structural changes to Medicaid – by providing federal funding to the states through block grants or per capita caps. These proposals are designed to reduce federal support to state Medicaid programs, not to better serve Americans who rely on Medicaid to access health and long-term care. Medicaid block grants or per capita caps would impose rigid limits on the amount of federal money available to states for Medicaid, endangering the health and well-being of older adults, people with disabilities, and their families.”