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The House of Representatives last night voted 224-193 to pass a non-binding denouncing recent Centers for Medicare & Medicaid Services guidance that gives states the option to request a defined amount of federal Medicaid funding to cover certain healthy adults. The guidance uses an approach commonly referred to as a “block grant” or “per capita cap,” depending on the structure, and permits states to request changes in Medicaid eligibility, covered benefits, cost sharing and other provisions through a Section 1115 waiver.