Looks like the debate's shifting ever so slightly toward Medicaid now. Medicaid flexibility's been getting quite a bit of attention these past two weeks. Today we hear about dueling Republican Medicaid reform bills. The first is the standard block grant: The second tries to add a little nuance in its variation on that theme: Yet some former Republican governors are a bit wary of the block grant approach: Current Republican governor Scott Walker seems to have walked back his unqualified support for block grants, instead suggesting it should just be an option: Meanwhile, the Bipartisan Policy Center has come out with some more modest proposals, mostly focusing on improving existing processes for states getting Medicaid waivers: In related news, the current administration recently released some rules updating some of the features of the king-of-all-waivers, the 1115 waiver. Tim Jost explained over at the Health Affairs blog: Lots of activity.