The Trump Administration also galvanized deregulatory efforts at the state and local level through the Governors' Initiative on Regulatory Innovation.
Expect a Trump administration to explore reforms to federal Medicaid financing, including caps on federal contributions, while giving the states greater flexibility in delivering healthcare accessibility.
A new Trump administration would also likely encourage states to tie Medicaid eligibility to work, a policy that will be received favorably among Republican state lawmakers.
During its first term, the Trump administration approved 13 states' requirements tying Medicaid to employment.
If the vibe of the 45th president's campaign was "Let Trump be Trump", the outlook of a second Trump administration might be "Let the states govern".
A Trump White House will push for a mixture of federal preemption where the states overly burden commerce and greater autonomy to relieve states of costs arising from intrusive federal requirements.
Trump administration alumni have populated state and local governments, most prominently Sarah Huckabee Sanders, the Arkansas governor and former Trump White House spokesperson.
https://www.realclearpolicy.com/articles/2024/10/17/a_second_trump_term_and_the_states_1065799.html
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