What programs are at risk of becoming block grants?

The two highest risk programs are Medicaid and SNAP (Supplemental Nutrition Assistance Program, formerly known as food stamps).

Dating back to at least the Reagan Administration, Republicans have sought to end the federal guarantees in Medicaid and SNAP. Block-granting Medicaid was a centerpiece of George W. Bush’s 2004 budget proposal and both programs have been favorite targets of House Republican budgets in recent years.

While the Republican plan to repeal the Affordable Care Act, “The American Health Care Act,” uses a different method to cut Medicaid benefits (known as “per capita caps”), the results would be similar to those of a block grant. That plan would take away Medicaid coverage for 14 million people by 2026.