Rand Paul(@RandPaul):When Washington pays the bill and states police the spending, waste and fraud are inevitable. Medicaid expansion is 90% federally funded. States have little skin in the game, but taxpayers still pay the price. Put the responsibility back on the states: if you spend it, you police it. @WillCainShow

Rand Paul

@RandPaul

U.S. Senator for Kentucky | I fight for the Constitution, individual liberty and the freedoms that make this country great.

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Rand Paul@RandPaul

2026.09.16 17:10

When Washington pays the bill and states police the spending, waste and fraud are inevitable. Medicaid expansion is 90% federally funded. States have little skin in the game, but taxpayers still pay the price. Put the responsibility back on the states: if you spend it, you police it. @WillCainShow