Medicare Blog

what states do not have medicare expansion

by Obie Schmitt Published 2 years ago Updated 1 year ago
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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.Jun 30, 2021

What states did not expand Medicaid under Obamacare?

KEY FACTS The Affordable Care Act, also known as Obamacare, allows states to decide whether or not to opt in to the law’s Medicaid expansion. Twelve states have yet to pass a Medicaid expansion: Wyoming, Texas, South Dakota, Wisconsin, Mississippi, Tennessee, Alabama, Georgia, North Carolina, South Carolina, Kansas and Florida.

Which states have approved CMS expansion?

Key States with Expansion Activity States Summary of Activity North Carolina On March 24, 2021, Democratic Governor R ... South Carolina On December 12, 2019, CMS approved two s ... South Dakota In November 2020, South Dakota’s Secreta ... Wisconsin After the Wisconsin Legislature’s Joint ... 19 more rows ...

How many uninsured Americans in non-expansion states are eligible for Medicaid?

A smaller number (about 356,000) of uninsured adults in non-expansion states are already eligible for Medicaid under eligibility pathways in place before the ACA.

Which Republican-run states are on the ballot for Medicaid expansion?

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 . Gov. Mike Parson (R-Mo.) was against expanding Medicaid in his state due to its impact on the state budget.

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Did most states opt out of Medicaid 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%).

Why did Florida not expand 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.

Why did Tennessee not expand Medicaid?

In Tennessee, the only able-bodied, non-elderly adults enrolled in Medicaid are those who have dependent children and income that doesn't exceed 101% of the poverty level, since the state has steadfastly rejected federal funding to expand its Medicaid program to cover more low-income adults.

Which is a reason some states have not expanded Medicaid to cover more of their needy residents following passage of the ACA?

(The cap on Medicaid eligibility under the ACA is 138 percent of the poverty level, which is currently less than $28,000/year for a family of three.) The lack of a work requirement is purportedly one of the reasons some states still haven't expanded Medicaid coverage.

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.

Which states are opposed to 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.

What is the income limit for Medicaid in TN?

The MMMNA is $2,288.75 (effective 7/1/22 – 6/30/23). If a non-applicant's income falls under $2,288.75 / month, income can be transferred from the applicant spouse to the non-applicant spouse, bringing their monthly income up to $2,288.75.

Did Missouri expand Medicaid?

Medicaid expansion extends coverage to adults under age 65 with household incomes up to 138% of the poverty level. In 2022, that amounts to about $18,754 for a single individual, and $38,295 for a household of four (children were already eligible for Medicaid at higher income levels).

How many states have ACA?

As of January 2020, 37 states (AK, AR, AZ, CA, CO, CT, DE, DC, HI, ID, IL, IN, IA, KY, LA, ME, MD, MA, MI, MN, MT, NE, NV, NH, NJ, NM, NY, ND, OH, OR, PA, RI, UT, VA, VT, WA, WV; not yet implemented in NE) and DC have expanded Medicaid.

What are the pros and cons of Medicaid expansion?

List of Medicaid Expansion ProsNot every low-income individual actually qualifies for Medicaid. ... Expansion would support local economies. ... It offers people a level of financial protection. ... Medicaid expansion drops the uninsured rate. ... The cost of expansion is minimal for the states.More items...•

Who qualifies for the Affordable Care Act?

You are currently living in the United States. You are a US citizen or legal resident. You are not currently incarcerated. Your income is no more than 400% (or 500% in 2021 and 2022) of the FPL.

Did Florida accept the Medicaid expansion?

Florida is one of 12 states that has not expanded its Medicaid eligibility under the Affordable Care Act.

Will Florida get expanded Medicaid?

By: Issac Morgan - March 11, 2022 7:00 am With state lawmakers wrapping up the 2022-23 state budget, one thing is clear on the health care front: Florida still won't move to expand Medicaid, despite continued efforts by health advocates and many legislators who want to provide medical care to vulnerable Floridians.

Did Florida opt out of Obamacare?

Florida is 1 of only 12 states still rejecting Obamacare dollars.

Does Florida participate in Medicaid?

Florida Medicaid is the state and Federal partnership that provides health coverage for selected categories of people in Florida with low incomes. Its purpose is to improve the health of people who might otherwise go without medical care for themselves and their children.

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.

Did Abbott say expansion is coming?

Abbott has not made a clear statement about expansion since the passage of President Joe Biden’s American Rescue Plan, which some say is telling, but he has been a harsh critic in the past.

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, ...

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.

Does Briana Wright have health insurance?

Briana Wright is one of those people. She's 27, lives near Jackson, Miss., works at McDonalds, and doesn't have health insurance.

Is Kaiser a good deal?

It's a good financial deal. An analysis by the nonprofit Kaiser Family Foundation estimates that the net benefit for these states would be $9.6 billion. But, so far — publicly, at least — no states have indicated they intend to take the federal government up on its offer.

Is Wright still uninsured?

Today, there are 12 holdout states that have not expanded Medicaid, and Mississippi is one of them. So, Wright is still uninsured.

Which states have not adopted Medicaid expansion?

According to a tracker provided by Kaiser Family Foundation, the 12 states that have not adopted Medicaid expansion are: 1. Alabama.

How many states have not expanded medicaid?

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 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. Nearly three-fourths of the nation has expanded Medicaid and it wouldn’t be a surprise to see its continuation.

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.

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 people would be eligible for Medicaid if they were not expanding?

If states that are currently not expanding their programs adopt the Medicaid expansion, all of the nearly 2.2 million adults in the coverage gap would gain Medicaid eligibility. In addition, 1.8 million uninsured adults with incomes between 100 and 138% of poverty 6 (most of whom are currently eligible for Marketplace coverage) ...

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, ...

What percentage of people in the Medicaid coverage gap are adults without dependent children?

Reflecting limits on Medicaid eligibility outside ACA pathways, most people in the coverage gap (77%) are adults without dependent children. 4. Adults left in the coverage gap are spread across the states not expanding their Medicaid programs but are concentrated in states with the largest uninsured populations.

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 ...

Why are there no uninsured adults in Wisconsin?

There are no uninsured adults in the coverage gap in Wisconsin because the state is providing Medicaid eligibility to adults up to the poverty level under a Medicaid waiver. The geographic distribution of the population in the coverage gap reflects both population distribution and regional variation in state take-up of the ACA Medicaid expansion.

Why do people fall into the Medicaid coverage 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.

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.

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. Advocates for expanding Medicaid in Kansas staged a protest outside the entrance to the statehouse parking garage in Topeka in May 2019.

What is the fourth option in the ACA?

OPTION 4: Change the ACA to open up the exchanges. A fourth idea, Rudowitz says, is to change the law to remove the minimum cutoff for the private health insurance exchanges, since "right now, individuals who are below poverty are not eligible for subsidies in the marketplace.".

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.

Does Briana Wright have health insurance?

Briana Wright is one of those people. She's 27, lives near Jackson, Miss., works at McDonalds, and doesn't have health insurance.

Does Biden have Medicaid?

Biden's Broader Vision For Medicaid Could Include Inmates, Immigrants, New Mothers. Because she lives in Mississippi, "I wasn't going to be eligible for Medicaid — because I don't have children [and] I'm not pregnant," she tells NPR.

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