Stop the Medicaid ambulance grift
With Congress back in their districts for the August recess, GOP members will undoubtedly be bragging to their base about the Medicaid abuses they stopped by passing President Trump’s One Big Beautiful Bill. These reforms include enrollment reductions and new work requirements for enrollees. However, many Members are hoping that no one calls them out for failing to address an intergovernmental transfer grift. This little-known accounting trick has turned this basic entitlement program into a bloated scam that enriches public agencies while squeezing out private providers. In theory, many of the services Medicaid covers, such as emergency ambulance rides, officially known as Ground Emergency Medical Transport (GEMT), should be straightforward.