Posted January 01, 2019 05:29:25US President Donald Trump has signed a major expansion of the Medicaid program for the poor in the US, setting up the biggest expansion in the nation’s history.

President Donald Trump and his top healthcare advisers have said the move will bring in a million more Americans each year by the end of the decade.

But for many, the move is likely to cause the largest-ever Medicaid expansion to come with steep cuts to coverage for the low-income and the sickest, including many with chronic conditions.

Mr Trump has promised to provide an expansion of coverage to all those who receive Medicaid, and his advisers have described the new expansion as the biggest in US history.

The number of Americans on Medicaid has fallen by more than 25 per cent over the past five years, according to the nonpartisan Congressional Budget Office.

The new expansion will add about 15 million people, with most of the new enrollees receiving subsidies to help pay for their insurance.

“We have a great program,” Mr Trump told a joint news conference with US Health Secretary Tom Price in the White House Rose Garden.

“And it’s going to be expanded to a whole new group of people.

The number of people that are going to get coverage is going to go up dramatically.”

The Trump administration has said it expects Medicaid to be the largest source of funding for public health in the United States by 2026, with more than 80 per cent of its $9.2 billion in spending coming from Medicaid.

But critics of the expansion say it will leave millions without health insurance and the millions with it in the worst shape.

The White House says the expansion will make up for the decline in the number of adults on Medicaid over the years.

It says Medicaid enrollees will now have the option to buy private insurance or buy into the government’s healthcare system.ABC/wiresTopics:health,health-policy,government-and-politics,government—administration,election-2016,united-states,united StatesFirst posted January 02, 2019 06:33:08More stories from New South Wales