"Under the agreement, the full 23 percent share would continue for two more years. It would phase down to 11.5 percent in 2020 and the extra money would disappear completely the following year. The details were provided by a Senate aide who spoke on condition of anonymity because full details weren’t publicly released."

By pushing this to the states over time would it not end up hurting states like Alabama and Mississippi that heavily rely on federal funding and supported Trump and Republicans?  After all, currently they receive more from the federal government than they pay in taxes.  Knowing that they are heavily Republicans and they could care less about the poor they will probably "choose" to let children die from treatable medical issues than have to fund something for the poor.