Buried in the bill is a provision that gives unlimited power to Walker's administration to make any kind of changes to medicaid that they want without the approval of the legislature:
As for Medicaid, Walker gives himself as much leeway as possible under the bill that passed the Assembly early Friday but remains hung up in the Senate because of 14 AWOL Democrats who skipped town to stymie efforts to vote on the proposal in that chamber.
Walker's bill gives his administration the power to make any changes necessary to Medicaid to save money, regardless of current law and without approval of the Legislature. Medicaid is a $1.2 billion part of the budget, but even with the freedom the bill gives him, Walker will be hamstrung by federal law that limits how many cost-saving changes states can make without a waiver.
Walker's new health department secretary, Dennis Smith, is a former federal Medicaid official who has advocated that states drop out of the program entirely. That position and others taken by Smith are worrisome to advocates for the poor, disabled and elderly, who are largely the beneficiaries of the program.
http://www.npr.org/templates/story/story.php?storyId=134085454If somehow democrats reach a deal with Walker to protect collective bargaining I worry this provision will be totally overlooked.