Which of the following restructuring proposals could change how Medicaid works?

The correct answer is D. Both A & B.

Explanation: Fixed block grants (A) would provide states with a set amount of money for Medicaid, allowing them greater flexibility in how they use these funds but potentially limiting overall spending. Limits on per-capita federal spending (B) would cap the federal funds states can receive for each Medicaid enrollee, which could also lead to significant changes in the program’s structure and funding. Both proposals would directly impact how Medicaid operates at the state and federal levels.