What happens if states don’t expand Medicaid?
Mar 17, 2020 · Multiple studies suggest that expansion can result in state savings by offsetting state costs in other areas. The federal government covered 100% of the cost of the expansion in the early years of ...
Does the ACA Medicaid expansion save states money?
May 05, 2020 · Given recent spending levels, expansion states will collectively pay more than $7 billion in 2020. For the median expansion state, expansion will cost more than $100 million. 2. These costs represent the “sticker price” of expansion. However, its actual fiscal impact differs from the sticker price for three reasons.
Will the uninsured population increase after the ACA’s Medicaid expansion?
Oct 21, 2020 · Medicaid expansion has been especially critical for expanding coverage to those with opioid-use disorders. There’s an acute need for treatment for opioid-use disorders and other substance use disorders; a record 63,000 people died of drug overdoses in 2016, with 42,200 due to opioid use. Since Medicaid expansion took effect, the share of opioid-related …
Are Americans still uninsured under the Affordable Care Act?
Oct 14, 2021 · Medicaid—a federal/state partnership with shared authority and financing—is a health insurance program for low-income individuals, children, their parents, the elderly and people with disabilities. Medicaid pays for health care for more than 74.5 million people nationally. Although participation is optional, all 50 states participate in the ...
Which of the following States has not adopted the Medicaid expansion option offered by the ACA?
Increases are from pre-ARPA policy and are presented for 12 states that have not expanded Medicaid: Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin, and Wyoming. Data: Urban Institute's Health Insurance Policy Simulation Model (HIPSM), 2021.Jun 30, 2021
Which states have implemented the Medicaid expansion under the Affordable Care Act?
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.Jan 14, 2022
Do states have to follow the Affordable Care Act?
The ACA has three primary goals: To meet these goals, according to the ACA, all states must set up a health insurance exchange, or a health insurance marketplace. And although individual participation is optional, all 50 states must participate in the federal Medicaid program.Dec 3, 2021
What states benefit most from the Affordable Care Act?
Most & Least Fed Funding Per $1 in Taxpayer BurdenRankStateBenefit Per $1 Burden1VermontUnlimited*2West Virginia5.113New York4.254Nov 17, 2013
What state is opposed to Medicaid expansion?
However, as of now, 12 states are refusing to expand Medicaid. Those states are Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, North Dakota, South Carolina, South Dakota, Tennessee, Texas, and Wisconsin.Jul 7, 2021
Which states did not expand Medicaid?
Coverage under the Medicaid expansion became effective January 1, 2014 in all states that have adopted the Medicaid expansion except for the following: Michigan (4/1/2014), New Hampshire (8/15/2014), Pennsylvania (1/1/2015), Indiana (2/1/2015), Alaska (9/1/2015), Montana (1/1/2016), Louisiana (7/1/2016), Virginia (1/1/ ...Feb 24, 2022
What actions did the states take in opposition to the Affordable Care Act?
Several states have enacted measures opting out of certain reforms or provisions established through the ACA, such as non-expansion of Medicaid, non-participation in the operation of the health exchanges or marketplaces, blocking individual health benefits such as contraception, or restrictions on navigators.Jun 29, 2021
Who supported and opposed the ACA?
The Patient Protection and Affordable Care Act (ACA) was passed by a Democratic Congress and signed into law by a Democratic president in 2010. Republican congressmen, governors, and Republican candidates have consistently opposed the ACA and have vowed to repeal it.
What role did the states play in the Affordable Care Act?
State Experiences Many provisions of the ACA were first implemented by states in their efforts to expand access to care and improve overall health system performance. These state experiences can help inform implementation efforts within and among states. For example: 35 states had high-risk pools.
Why has Florida not expanded Medicaid?
Florida is one of 12 states that has not expanded Medicaid eligibility as allowed under Affordable Care Act (ACA). The ACA doesn't provide subsidies for people with income below the poverty level, because the law called for them to have Medicaid instead.
Does Florida participate in ACA?
1. Florida open enrollment has ended, but you may be able to use a special enrollment period to get covered. In Florida, open enrollment for 2022 Affordable Care Act (Obamacare) coverage has ended.
Which state has best Obamacare?
ACA Benchmark Premiums Ranked by Cheapest Plan in 2021State2017RankMinnesota$4421New Hampshire$2672Rhode Island$2613New Mexico$255448 more rows
What is the ACA expansion?
The ACA Medicaid expansion was designed to address historically high uninsured rates among low-income adults, providing a coverage option for people with limited access to employer coverage and limited income to purchase coverage on their own. In states that expanded Medicaid, millions of people gained coverage, ...
Why did people fall into the Medicaid gap?
At a time when many need health care services due to the health care crisis or face loss of financial security due to the economic downturn , millions fall into the Medicaid coverage gap due to their state’s decision not to expand eligibility. The ACA Medicaid expansion was designed to address historically high uninsured rates among low-income adults, providing a coverage option for people with limited access to employer coverage and limited income to purchase coverage on their own. In states that expanded Medicaid, millions of people gained coverage, and the uninsured rate dropped significantly as a result of the expansion. However, with many states opting not to implement the Medicaid expansion, millions of uninsured adults remain outside the reach of the ACA and continue to have limited options for affordable health coverage. In 2019 the uninsured rate in non-expansion states was nearly double that of expansion states (15.5% vs. 8.3%).
What is the gap in Medicaid coverage?
The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid. The economic downturn and change in Administration are likely to bring renewed attention to gaps in Medicaid coverage in states that have not expanded eligibility under the Affordable Care Act (ACA). In recent months, millions have gained health insurance coverage ...
How many people would be eligible for Medicaid if all states expanded?
If all states expanded Medicaid, those in the coverage gap and those who are instead eligible for Marketplace coverage would bring the number of nonelderly uninsured adults eligible for Medicaid to more than 4.3 million people in the twelve current non-expansion states. The potential number of people who could be reached by Medicaid expansion ...
What is the uninsured rate in 2019?
In 2019 the uninsured rate in non-expansion states was nearly double that of expansion states (15.5% vs. 8.3%). By definition, people in the coverage gap have limited family income and live below the poverty level.
Is Medicaid expansion a non-expansion?
However, with many states opting not to implement the Medicaid expansion, millions of uninsured adults remain outside the reach of the ACA and continue to have limited options for affordable health coverage. In 2019 the uninsured rate in non-expansion states was nearly double that of expansion states (15.5% vs. 8.3%).
Is Biden expanding Medicaid?
The Biden Administration is likely to make coverage expansion for low-income populations a priority, including filling in the “coverage gap” that exists for adults in non-expansion states. Adults who fall into the coverage gap have incomes above their state’s eligibility for Medicaid but below poverty, the minimum income eligibility ...
What happens when states expand Medicaid?
When states expand Medicaid, they may see reduced spending outside of the program. Many states provide health care services to low-income residents; expansion may allow them to provide some of these services via Medicaid.
How does Medicaid expansion affect the economy?
It may boost revenues in three ways: 1) states may impose expansion taxes or may have provider taxes that grow naturally with expansion ; 2) if Medicaid expansion impacts the larger economy (e.g., resulting in more jobs), these impacts will generate more revenue; and 3) some states push some of the cost of expansion onto beneficiaries by charging premiums.
What are the benefits of Medicaid expansion?
Prior studies identify several areas where expanding Medicaid reduces other state spending. 9 The three most common include: 1 Mental health and substance abuse treatment: Many states directly support mental health and substance abuse treatment for low-income people without health insurance. With Medicaid expansion, recipients may obtain these services via Medicaid. 2 Corrections: Medicaid expansion allows states to shift the cost of some inmates’ health care from the state corrections budget to Medicaid. 10 3 Uncompensated care: Many states help offset the cost of providing care to people who cannot pay their medical bills. By reducing the number of people without insurance, Medicaid expansion significantly reduces the amount of uncompensated care. 11 Therefore, some states have chosen to reduce payments to health care providers for uncompensated care.
Does Medicaid expansion have net savings?
As the share of Medicaid expansion costs paid by the states grew, net savings fell. However, at least through FY2019 in the average state, expansion generated sufficient savings to states’ traditional Medicaid programs to offset its costs.
How does Michigan expand Medicaid?
Michigan expanded Medicaid under the Social Welfare Act, which included a provision that automatically sunsets the program whenever annual state savings are insufficient to cover the costs. As a result, Michigan closely tracks the fiscal impacts of expansion. In its most recent estimates, Michigan’s House Fiscal Agency estimated that it would generate sufficient savings to offset expected costs through at least 2027–28 (the final year examined). The estimated net savings generated by expansion are substantial, amounting to more than $160 million per year. 19
Does Montana have Medicaid?
Montana has experienced significant savings in its traditional Medicaid program and modest sav ings outside Medicaid related to expansion. To help pay for it, the state has imposed provider taxes and premiums. Research also documents significant economic impacts and associated tax revenues tied to expansion.
Did Virginia expand Medicaid?
Virginia did not expand Medicaid until 2019. As a late-expanding state, it could learn from earlier states when developing estimates for the likely fiscal impacts of expansion. Prior to expanding Medicaid, Virginia expected to save nearly $270 million in FY2020. However, after one year of expansion, cost savings attributable to Medicaid expansion were even larger than expected. For FY2020, the governor’s amended budget includes additional savings of $211.7 million. 25 This additional savings is predominantly attributed to unexpectedly large savings from people switching from traditional Medicaid (with a 50 percent state share) to expansion (with a 10 percent state share).
How many states have expanded Medicaid?
So far, 37 states (including Washington, D.C.) have expanded Medicaid coverage to low-income adults under the Affordable Care Act (ACA). Two more states — Missouri and Oklahoma — will expand in 2021 as a result of voter-approved ballot initiatives.
How many people died from Medicaid expansion?
Medicaid expansion saved the lives of at least 19,200 adults aged 55 to 64 between 2014 and 2017, a landmark study finds. Conversely, more than 15,600 older adults died prematurely because of state decisions not to expand Medicaid.
What is the Affordable Care Act?
Note: The Affordable Care Act allows states to expand their Medicaid programs. Each bubble represents a state with the size of the bubble based on state population. Source: CBPP analysis using MACPAC data on uncompensated care costs and Census Bureau data on uninsured rates by state.
When did Oregon expand Medicaid?
In 2008, Oregon expanded Medicaid to a limited number of low-income adults chosen in a lottery from among those eligible. This approach enabled researchers to compare outcomes for those selected through the lottery to otherwise-similar adults not selected.
What happens after an eviction?
After eviction, renters often end up in homeless shelters, extremely poor-quality housing, or dangerous neighborhoods, or they must move frequently among homes of family and friends. All of these outcomes can cause long-term harm, especially for children. Chart.
How much did the enrollment increase in 2020?
Among the 15 states with publicly available enrollment data for February-June 2020, expansion enrollment rose by 3.3 percent for February-April, 6.5 percent for February-May, and 9.8 percent for February-June. Chart.
How many people died from opioid overdoses in 2016?
There’s an acute need for treatment for opioid-use disorders and other substance use disorders; a record 63,000 people died of drug overdoses in 2016, with 42,200 due to opioid use. Since Medicaid expansion took effect, the share of opioid-related hospitalizations in which the patient was uninsured has plummeted 79 percent in expansion states, ...
How much would it cost to expand Medicaid?
Expanding Medicaid would cost states an additional $118 billion through 2023, according to a recent congressional report. [8] . The additional spending surely would crowd out funds for education, transportation, parks, public safety, and other vital state needs.
Why is Medicaid a disincentive?
Medicaid imposes a huge disincentive on the poor to find work because they fall out of the program once they start earning better incomes. If states choose not to expand Medicaid, able-bodied adults who seek work and who successfully cross the poverty line should have the option of subsidized private insurance.
Does North Carolina have Medicaid?
[30] . As a result, North Carolina has decided not to expand its Medicaid program.
When was Medicaid created?
Medicaid — the joint federal and state program designed to finance health care for the poor — has not been fundamentally changed since it was created in 1965 . Legislators know Medicaid desperately needs to be modernized for the 21 st century, and even President Obama argued the case during the debate over ObamaCare.
Who is Jim Capretta?
Jim Capretta of the Ethics and Public Policy Center argues that states should collectively push for Washington to allow them to improve the Medicaid program rather than allowing the Obama administration to pick them off one by one with special deals.
Does Medicaid harm people?
The Medicaid program actually harms the people it is intended to serve . Expanding Medicaid means that patients who are already enrolled in the program -– many of whom have nowhere else to go for coverage –- will be competing for medical services with up to 20 million more people being added to the program.
When will the federal match rate fall to 90%?
The initial 100% federal match rate for the expansion population is very tempting, but the match rate starts to decline in three years and falls to 90% by 2020. In addition, the state must pay all added administrative costs as well as its higher share of coverage for other eligible citizens outside the expansion band who are not now enrolled but who would likely do so after the Affordable Care Act’s individual mandate triggers in 2014.
Which states are expanding Medicaid?
Voters in Idaho, Nebraska, and Utah will decide in November whether to expand Medicaid as part of the ACA, while policymakers in Georgia, Kansas, and other non-expansion states are giving renewed consideration to expansion. There is ample evidence of the benefits of expansion, from increased health coverage to improved physical ...
How much did Medicaid increase in 2014?
In fact, Medicaid enrollment and costs have stabilized after initial growth when expansion first took effect in 2014. Overall Medicaid enrollment grew by 8.8 percent in 2014 and 7.6 percent in 2015 but only 3.1 percent in 2016, according to the Centers for Medicare & Medicaid Services’ (CMS) actuary. [13] .
What percentage of Medicaid is paid by the federal government?
By comparison, the federal government pays between 50 and 76 percent of the cost of other Medicaid enrollees, depending on the state. Many state and independent analyses have found ...
Is Medicaid expanding in Idaho?
As residents of Idaho, Nebraska, and Utah prepare to vote this November on initiatives to expand Medicaid as part of the Affordable Care Act (ACA), a large and growing body of evidence shows that Medicaid expansion has produced large gains in health coverage and improved beneficiaries’ physical and financial health.
When was Obamacare signed into law?
The Patient Protection & Affordable Care Act, informally known as Obamacare, was signed into law on March 23, 2010 and has remained front and center in the public consciousness ever since. It has in turn become a symbol of political divisiveness, the subject of Supreme Court scrutiny, a hostage on the world economic stage, ...
What is the most important implication of health care reform for the currently insured?
Moral, ethical, and political motivations aside, the most important implication of health care reform for the currently insured is cost – particularly the amount of their monthly premium . Premiums represent the primary fixed cost associated with health insurance, and changes to its amount could have serious ramifications for a consumer’s overall budget.
What is the Affordable Care Act?
The Affordable Care Act is expected to expand insurance coverage to millions of previously uninsured Americans through Medica id expansion, tax credits, and other assistance measures. However, this aspect of the ACA was dealt a blow by the Supreme Court when it ruled that states could not be required or unduly coerced to expand their Medicaid criteria.
Why are emergency room visits so high?
High emergency room visit rates are considered a sign of a poorly functioning health care system, as emergent patients are most commonly uninsured, low-income individuals who lack the means to pay for regular care and therefore only receive medical attention under dire circumstances.
Which states have not expanded Medicaid?
According to a tracker provided by Kaiser Family Foundation, the 12 states that have not adopted Medicaid expansion are: 1. Alabama. 2. Florida. 3. Georgia.
What is Medicaid expansion?
Medicaid expansion means that the Medicaid programs provided by a state cover all those inside a household who fall below a certain income level, or Federal Poverty Level (FPL). The FPL is used to determine financial eligibility for certain federal programs, such as Medicaid. Qualifying for Medicaid is based on your household size, disability, income, family status, and other factors. It is important to note that eligibility differs from state to state. If you or your family make less than 138% of the Federal Poverty Level and you live in one of the 38 states that expanded Medicaid, you may qualify for Medicaid making Medicaid eligibility effectively 138%, not 133%.
How much of the poverty level is Medicaid?
If you or your family make less than 138% of the Federal Poverty Level and you live in one of the 38 states that expanded Medicaid, you may qualify for Medicaid making Medicaid eligibility effectively 138%, not 133% .
Is Medicaid a federal or state program?
Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services.
Is Missouri expanding Medicaid?
Medicaid Expansion. As of August 4th, only 12 states remain that have not expanded Medicaid services. Recently, Missouri voters approved their expansion, increasing Medicaid eligibility to low-income adults with income at or below 138% of the Federal Poverty Level. Medicaid in the United States is a federal and state program ...
When will the additional federal compensation be extended?
If the additional federal compensation was extended from the current 16 weeks through to the end of 2020 and still included in the income eligibility calculations, the population of workers eligible for subsidies would be lower than if policymakers did not make any changes at all. Eligibility would drop for both expansion and nonexpansion states.
When will unemployment end?
Federal unemployment compensation through the end of 2020. Both state and federal unemployment compensation and these were not included in the income eligibility calculation.