Medicare Blog

how many states have expanded medicare

by Nathanial Stracke DVM Published 2 years ago Updated 1 year ago
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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. These data are available in a table format.Jun 29, 2022

Full Answer

What states accept Medicaid expansion?

Medicaid expansion states where new governors withdrew pending work requirements:

  • Maine (approved, but rejected by Gov. Mills soon after she took office) The 20-hour per-week work requirement could have taken effect as of July 2019, and was approved while Gov. ...
  • Virginia — (withdrawn by Gov. Ralph Northam). ...
  • Kentucky (withdrawn by Gov. Andy Beshear) Kentucky’s work requirement was the first to be approved by CMS. ...

Why states should not expand Medicaid?

Why ... politicians should not be proud that, after Texas, Tennessee holds the record for having the highest rate and number of hospital closures in the nation. Under the American Rescue Plan Act of 2021, states that adopt Medicaid expansion have to ...

Why do States oppose Medicaid expansion?

While the Senate leaders are doing an excellent job standing firm on this issue, there are several more reasons to oppose Medicaid expansion: Government involvement in the healthcare markets drive up costs for everyone; more government intervention cannot possibly be the solution.

Where do States stand on Medicaid expansion?

Where the states stand on Medicaid expansion. ⋮. The Supreme Court's 2012 ruling on the Affordable Care Act (ACA) allowed states to opt out of the law's Medicaid expansion, leaving each state's decision to participate in the hands of the nation's governors and state leaders.

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What states didn't expand Medicare?

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.

What states have rejected Medicaid expansion?

Nonexpansion states include 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.

When was the most recent Medicaid expansion?

States' decisions about adopting the Medicaid expansion are as of June 2, 2022. To view and download a map of these data, please click here.

Why has Florida not expanded Medicaid?

Florida has set below-average limits for the mandatory coverage groups, and since the state has not accepted federal funding to expand Medicaid, the eligibility rules have not changed with the implementation of the ACA.

What is the downside of Medicaid expansion?

Very few studies reported that Medicaid expansion was associated with negative consequences, such as increased wait times for appointments—and those studies tended to use study designs not suited for determining cause and effect.

Why is Medicaid expansion unconstitutional?

2 The most complex part of the Court's decision concerned the ACA's Medicaid expansion: a majority of the Court found the ACA's Medicaid expansion unconstitutionally coercive of states because states did not have adequate notice to voluntarily consent to this change in the Medicaid program, and all of a state's ...

How many states have adopted the Affordable Care Act?

Since 2010, the number of states that have accepted ACA's Medicaid expansion has steadily grown – from just a handful by 2012 to 38 states and DC as of 2022.

Why did Tennessee not expand Medicaid?

Most states leapt at the opportunity to expand, and numerous studies show expansion has transformative impacts on the health of low-income residents. Tennessee and 11 other states, all controlled by Republicans, have rejected Medicaid expansion largely because of its association with the Obama administration.

Why did NC not expand Medicaid?

North Carolina has an unprecedented opportunity to provide health care to those currently without insurance through Medicaid expansion. The NC General Assembly has rejected federal dollars to expand Medicaid for the last five years, repeatedly choosing politics over the health and well-being of North Carolinians.

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

What is the maximum income to qualify for Medicaid in Florida?

$2,523.00Effective Jan 1, 2022, the applicant's gross monthly income may not exceed $2,523.00 (up from $2,382.00). The applicant may retain $130 per month for personal expenses. However, even having excess income is not necessarily a deal-breaker in terms of Medicaid eligibility.

Did Florida opt out of Obamacare?

Florida is one of 12 states still rejecting Obamacare dollars available to provide insurance to uninsured residents.

How many states are expanding Medicaid?

As of early 2019, a total of 36 states plus Washington, D.C., have received federal funds to expand Medicaid. Additional states are expected to follow suit by the end of 2019. Some states are even working to make changes to the Medicaid program, including buy-in programs and putting lifetime caps in place.

What was the Affordable Care Act?

The Affordable Care Act that was enacted in 2010 under former United States President Barack Obama was designed to give more Americans access to affordable healthcare. Under this expansion, households with incomes up to 133% of the federal poverty level would be eligible to receive Medicaid benefits, which provides free healthcare services.

Medicare vs. Medicaid Expansion

While many states have expanded their Medicaid programs, the process for doing the same with Medicare would be very different. Medicaid is government health insurance for those with low incomes, which the federal and state governments collectively manage.

Who Pays for Medicare Expansion?

Medicare primarily receives funding through payroll taxes. Thus, more tax revenue will be necessary for an expansion to be possible.

FAQs

No state has the power to expand Medicare, as it is a federal program. However, states are able to expand their Medicaid programs within federal guidelines.

When will Missouri expand Medicaid?

Primary voters greenlighted an expansion of Medicaid in Missouri on Tuesday, becoming the 38th state to do so, leaving just a handful of mostly red states that have yet to expand healthcare coverage. at a press conference at the Texas State Capitol in Austin on Monday, May 18, 2020.

Why is Gov Parson against expanding Medicaid?

Gov. Mike Parson (R-Mo.) was against expanding Medicaid in his state due to its impact on the state budget. “I don’t think it’s the time to be expanding anything in the state of Missouri right now. There’s absolutely not going to be any extra money whatsoever,” the Republican governor told the St. Louis Dispatch.

When did the Affordable Care Act pass?

When the Affordable Care Act passed in 2010, many Democratic-controlled states quickly opted in to the Medicaid expansion, while Republican-run states refused. In recent years, social justice nonprofits have swooped in to pass expanded Medicaid via ballot initiatives.

What states are fairness projects?

The Fairness Project, a social justice nonprofit, has spearheaded ballot initiatives in four Republican-run states—Idaho, Utah, Nebraska and Oklahoma— and was part of the ballot effort in Missouri, reports the New York Times .

How many states have not expanded Medicaid?

Today, twelve states have still not expanded Medicaid. The biggest are Texas, Florida, and Georgia, but there are a few outside the South, including Wyoming and Kansas. There are more than 2 million people across the United States who have no option when it comes to health insurance. They're in what's known as the "coverage gap" — they don't ...

How much does the federal government cover for Medicaid?

Essentially, the federal government will cover 90% of the costs of the newly eligible population, and an additional 5% of the costs of those already enrolled.

How many states have expanded Medicaid?

Thirty-six states and DC have either already expanded Medicaid under the ACA or are in the process of doing so. Fourteen states continue to refuse to adopt Medicaid expansion, despite the fact that the federal government will always pay 90% of the cost.

Which states have Medicaid expansion?

Five states — Texas, North Carolina, Florida, Georgia, and Tennessee — account for the lion’s share of the coverage gap population, and they are among the 14 states where expansion is still a contentious issue and the legislature and/or governor are still strongly opposed to accepting federal funding to expand Medicaid.

What is the ACA expansion?

A provision in the Affordable Care Act ( ACA) called for 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 percent of the federal poverty level (133 percent plus a 5 percent income disregard).

How many people are on medicaid in 2019?

As of 2019, official Medicaid data put the total newly-eligible enrollment at about 10 million . Total enrollment in Medicaid/CHIP has increased by 26 percent since 2013, although enrollment growth is much higher than that average (34.4 percent) if we only consider states that have expanded Medicaid.

How much is Medicaid coverage in 2020?

That will gradually decrease to 90 percent by 2020, but will not go below that amount. As of 2019, official Medicaid data put the total newly-eligible enrollment at about 10 million.

What percentage of Texas residents approve of Medicaid expansion?

IMAGE: Texas Gov. Greg Abbott at a news conference in Austin. (Eric Gay / AP file) In Texas, 69 percent approve of Medicaid expansion, according to a poll conducted late last year by the Texas-based Episcopal Health Foundation.

Is Texas going to expand Medicaid?

While Texas Gov. Greg Abbott and Lt. Gov. Dan Patrick, both conservative Republicans, are unlikely to support any Medicaid expansion bill — which would likely kill the measure — some expect it to set up a political battle within the state Republican party and balloon into a major issue in the 2022 race for the governorship.

Is Wyoming expanding Medicaid?

Expanding Medicaid is an option available to states since 2014 through the Affordable Care Act, commonly known as Obamacare, yet Wyoming and 11 other states have refused to take up the federal government’s offer. About 2.2 million people, who earn too much for Medicaid and too little for Obamacare subsidies, fall in that coverage gap nationwide, ...

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