My suggestion is to get rid of this Azar guy and find someone with a genuine gold plated BRAIN.
illegals are a miniscule part of Medicaid. Medicaid recipients can be placed in 4 categories.
1. Moms and their kids. Very few dollars.
2. People with disease thru no fault of their own. Very few dollars.
3. Senior citizens. It cost a lot of money to pay the medicare premiums, and to pay for Nursing Homes and things Medicare doesn’t cover. Seniors have expensive “encounters”.
4. People with injury and disease thru a pattern of bad life style choices. These are the most expensive of all ... among other reasons because the continue to make bad lifestyle choices.
It is group #4 that has grown dramatically both in numbers, and in cost, since 2008. By subsidizing and enabling bad lifestyle choices, we are getting the predictable result.