On January 30, CMS released a new Medicaid Block Grant Plan (Plan). The Plan may have the following effects: (1) The could potentially impact millions of individuals depending on whether states choose to participate, and to what level the states would participate; (2) States could reduce coverage requirements and add out of pocket costs to Medicaid enrollees; (3) States would be able to set their own non-federally regulated rules for things such as network adequacy; (4) A majority of states are not expected to apply for the Plan, outside of those 14 states that have not yet expanded Medicaid; and (5) If the Plan passes Congress, there would certainly be litigation that could stop it.