In this Jan. 10, 2017 file photo, Seema Verma, left, then President-elect Donald Trump’s nominee for administrator of the Centers for Medicare and Medicaid Services, gets on an elevator in the lobby of Trump Tower in New York. Verma, the businesswoman selected by President Donald Trump to oversee Medicaid, the health care program for 74 million low-income Americans, has said the program is structurally flawed at its core by policies that burden states and foster dependency in the poor.