Simple as that

Cassidy: Y'all are on your own.

Cassidy acknowledged that his legislation will cut federal spending on health care. He said states that think they need more money should raise their own taxes to pay for it.

Republicans control 32 of 50 state legislatures. Let's go ask them how they feel about raising taxes to make up this gap. 

Block grant funding in 2020 would be $26 billion, or 16 percent, below projected current law federal funding for Medicaid expansion and marketplace subsidies.  The block grant would grow by only 2.0 percent annually, well below medical cost inflation and even general cost inflation.  By 2026, block grant funding would be $83 billion, or 34 percent, below projected current law federal funding.  States would be forced to sharply scale back coverage as these block grants became increasingly inadequate.

Maybe Cameron Henry has some ideas about that....