Why do states choose not to expand Medicaid?

Why do states choose not to expand Medicaid?

Marketplace expansion makes fewer people eligible than a Medicaid expansion, because marketplace coverage has an additional requirement: no member of the family can have an affordable offer of worker coverage.

Why did Texas oppose Medicaid expansion?

Opponents of expanding Medicaid to an estimated 1.4 million adult Texans who would qualify under the Affordable Care Act of 2010 argue that the program is poorly managed and financially unsustainable, and that expansion encourages government dependence, delivers poor health outcomes, and crowds out children and people …

What was the ACA trying to do with Medicaid expansion?

A provision in the Affordable Care Act (ACA) called for the expansion of Medicaid eligibility in order to cover more low-income Americans. Under the expansion, Medicaid eligibility would be extended to adults up to age 64 with incomes up to 138\% of the federal poverty level (133\% plus a 5\% income disregard).

What is Medicaid expansion states?

38 states and DC have accepted federal funding to expand Medicaid under the ACA. Maine approved a ballot initiative in 2017 to expand Medicaid, which took effect in 2019. Medicaid has since been expanded in Utah, Idaho, Nebraska, Oklahoma, and Missouri, thanks to similar ballot measures being approved by voters.

How many states have expanded Medicaid under ACA?

To date, 39 states (including DC) have adopted the Medicaid expansion and 12 states have not adopted the expansion.

Is Medicaid expansion part of the ACA?

States’ decisions about adopting the Medicaid expansion are as of November 19, 2021. The ACA expands Medicaid coverage for most low-income adults to 138\% of the federal poverty level (FPL); see this table for state by state Medicaid income eligibility levels for adults.

How many states have expanded Medicaid?

39 states
To date, 39 states (including DC) have adopted the Medicaid expansion and 12 states have not adopted the expansion. Current status for each state is based on KFF tracking and analysis of state expansion activity.

Did Texas expand Medicaid coverage?

Hundreds of organizations from mostly southern parts of the United States are pleading with Congress to expand Medicaid in the 12 states that have refused to do so. Among those states is Texas, which has the highest uninsured rate in the country.

Did Obamacare expand Medicaid?

California adopted Medicaid expansion through the Affordable Care Act (ACA). Enrollment began in October 2013, with coverage effective in January 2014.

Did the Affordable Care Act expand Medicare?

Summary: The Affordable Care Act helps lower prescription drug costs for Medicare beneficiaries & helps expand Medicare preventive benefits.

Did Florida expand Medicaid under ACA?

Although Florida has not expanded Medicaid under the ACA, enrollment in the state’s program has continued to grow. By June 2020, total Florida Medicaid enrollment was about 3.7 million, and CHIP enrollment was about 219,200.

Is the conversation around Medicaid expansion changing in some states?

The conversation around Medicaid expansion appears to be undergoing a new and dramatic shift in some of the holdout states, however. Central to that change is the Biden administration’s offer, via its Covid-19 relief bill, of increased federal dollars over two years to states that adopt expansion for the first time.

Will Biden’s funding offer turn the tide on Medicaid expansion?

12 red states have refused Medicaid expansion. Biden’s funding offer may turn the tide. An uninsured patient visited Dr. Gregory McCue’s practice in Cody, Wyoming, this week and explained that she can’t afford insulin to treat her diabetes.

Is Medicaid expansion a good or bad thing?

“We have over 400 studies showing why Medicaid expansion is a good thing,” said Joan Alker, executive director of Georgetown University’s Center for Children and Families.

Was Medicaid expansion a nonstarter for Texas judges?

Ed Emmett, a Republican who served until 2019 as the judge of Harris County, the largest county in the state, recalled that Medicaid expansion was a nonstarter in meetings with Abbott. “Anytime a meeting was set up with the governor or his office, I was told if you bring up Medicaid expansion, the meeting is over,” he said.