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But that’s not what happened. Lewin found that the waiver ensures that “Medicaid members in Rhode Island receive the right services, at the right time, in the right setting,” maintaining and often enhancing the quality of care.

Rhode Island, Pennsylvania and the Republican Study Committee are on the right track with block-granting Medicaid to the states. The model works, and it provides a strong platform for the Medicaid part of the “replace” strategy post-Obamacare.

Republicans Rep. Todd Rokita of Indiana, Rep. Tim Huelskamp of Kansas and Rep. Paul C. Broun of Georgia are co-sponsoring the Medicaid reform bill with Mr. Jordan.

Grace-Marie Turner is president of the Galen Institute, a nonprofit research organization that focuses on patient-centered health reform. She is co-author of “Why Obamacare Is Wrong for America” (HarperCollins, 2011).