I'm pretty certain all he means by this is that the policies qualify under state's individual mandate healthcare.
Still, I kind of doubt Trump of all people would want states using Medicaid money for other expenses, and would likely have some strings attached to prevent as much.
As you take it upon yourself to make these repeated assumptions about Trump's intentions and end goals even as the latter, as you yourself acknowledge, has remained intentionally vague about most of them, has the thought occurred to you that you might, to at least some degree, be the "entrenched" one here? Could you be the one who, when confronted with Trump's proposals, which, when he even bothers to spell them out, frequently fly directly in the face of everything we know about economics, history, foreign policy, sociology, and so forth, think to himself "no, no, they couldn't possibly be that utterly asinine; the guy must be onto something nobody else knows, he must have it all figured out, and just hasn't told us yet!"It could be that he's sending the Republican party on a crash course to self destruction. It could be that he's strikingly not conservative on a number of issues and causes his party to react in crazy ways as a result (they recently defended the Iraq war, years after they jettisoned Bush over it). It could be a number of things he's done to piss off the GOP establishment.
Would you at least consider that possibility, or am I just that much of a lost cause to even think along those lines?