Bush wants to push through the rule changes by the end of the year. Sunday's New York Times reports:
The White House says the changes are needed to ensure the "fiscal integrity" of Medicaid and to curb "excessive payments" to health care providers.
But the plan faces growing opposition. The National Governors Association said it "would impose a huge financial burden on states," already struggling with explosive growth in health costs. ...
In Missouri, Gov. Matt Blunt, a Republican, said the change "could mean a loss of more than $84.9 million" for his state. That, he said, would "jeopardize the continuity of care for Medicaid recipients" and set back efforts to improve care in nursing homes.