Managing Government Relations Director Ilisa Halpern Paul was quoted in Modern Healthcare in an article on President Obama’s latest budget, to be released April 10.

Likely proposals include the incorporation of the so-called chained Consumer Price Index to slow future Social Security spending and rebates from drug manufacturers on drugs that Medicaid beneficiaries get through Medicare Part D.

The budget is also expected to include many of the provider cuts that were included in the president’s previous budgets. Ilisa predicted Obama would play both defense and offense on healthcare.

“On defense, he likely will make clear that he intends to go full steam ahead on ACA implementation and funding will be included for those efforts. On offense, he is expected to include cuts—an estimated $400 billion—to Medicare to show he is serious about deficit reduction,” she said.

“However, in the offense-defense approach, Medicaid will be spared cuts. Given the integral role that the Medicaid expansion plays in the ACA with respect to increasing the numbers of insured, that move is not surprising,” she added. “We also have heard that he plans to fund a pre-K expansion through an increase in tobacco excise taxes, which is something that the public health community likely will support.”

Source: Modern Healthcare