Medicare Blog

which are medicare expansion states

by Eugene Goodwin Published 3 years ago Updated 2 years ago
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As of June 2019, the states that have adopted Medicaid

Medicaid

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. The Health Insurance As…

expansion are Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Ohio, Oregon, Pennsylvania, Rhode Island, Vermont, Virginia, Washington, and West Virginia.

New Hampshire, Michigan, Indiana, Pennsylvania, Alaska, Montana, and Louisiana all expanded their Medicaid programs between 2014 and 2016. Expansion took effect in Virginia and Maine in 2019, in Utah, Idaho, and Nebraska in 2020, and in Oklahoma and Missouri in 2021.Apr 21, 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  • Virginia — (withdrawn by Gov.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  • Kentucky (withdrawn by Gov.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 opted out of Obamacare?

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.

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%).

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 is Medicare expansion?

Medicare expansion refers to broadening the benefits of the program, as the parts in which beneficiaries enroll through the government provide limited coverage. Throughout the years, extensions of the program have been uncommon, with one of the most notable instances being coverage of disabled individuals under 65.

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.

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.

How many states in the US subscribe to the Medicaid expansion?

Medicaid expansion states: Key takeaways. 38 states and DC have accepted federal funding to expand Medicaid under the ACA.

What state has the best Obamacare?

ACA Benchmark Premiums Ranked by Cheapest Plan in 2021State2017RankMinnesota$4421New Hampshire$2672Rhode Island$2613New Mexico$255448 more rows

Which state is best for Medicaid?

Top 5 states on Medicaid eligibility, spending and qualityMassachusetts.Minnesota.California.Vermont.Rhode Island.

Does California have Medicaid expansion?

California adopted Medicaid expansion through the Affordable Care Act (ACA). Enrollment began in October 2013, with coverage effective in January 2014. According to US Census data, the state's uninsured rate stood at 17.2% in 2013, and had dropped to 7.2% by 2017 (it remained at roughly that level in 2018 and in 2019).

Is Medicare going to be expanded?

Medicare would be expanded under $3.5 trillion budget resolution approved by House. Coverage for dental, vision and hearing would be provided through original Medicare, if Democrats' full $3.5 trillion budget plan comes to fruition. Reducing the age of eligibility for Medicare is also included in the approved framework ...

Is California Medicaid expanded?

Governor Newsom last year signed legislation making California the first state in the nation to expand full-scope Medi-Cal eligibility to low-income adults 50 years of age or older, regardless of immigration status.

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.

What would happen if Medicare expansion went through?

If the proposed Medicare expansion goes through, Americans would see both pros and cons. Clearly, the most positive effect would be beneficiaries receiving additional health care at no extra cost to them. On the other hand, there would still be major gaps in Medicare coverage that cause larger financial burdens for seniors and their families, as well as a greater need for taxpayer funding of the program.

What is a Medigap plan?

Additionally, Medigap plans are another type of supplemental insurance. These plans cover the coinsurance costs that come with Original Medicare.

Does Medicare cover everything?

In reality, Medicare coverage doesn’t include everything. Still, politicians have their eye on Medicare expansion to close the gap between the federal program’s current offerings and the complete coverage seniors want and need.

Is Medicaid the same as Medicare?

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.

Can states expand Medicaid?

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.

Does Medicare cover dental care?

Original Medicare consists of hospital insurance (Part A) and outpatient insurance, including preventive care (Part B). These parts don’t pay for dental, vision, or hearing services – nor do they include prescription drugs that beneficiaries take at home.

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.

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.

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 .

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.

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.

Why are there some states that haven't implemented Medicaid expansion?

The ACA called for Medicaid expansion nationwide. But in June 2012, the Supreme Court ruled that states could not be forced to expand their Medicaid programs, so it was left to each state to determine whether to participate or not.

How is Medicaid expansion funded?

The federal government is financing most of the cost of expanding Medicaid, and a small portion is being paid by participating states. The costs for enrollees who are newly eligible under the expanded guidelines were covered 100% by the federal government until the end of 2016. The states then gradually started paying a portion of the cost, reaching 10% by 2020.

How many people will be eligible for medicaid in 2021?

But the COVID pandemic drove the enrollment numbers significantly higher: As of 2021, there were about 14.8 million Medicaid enrollees who had gained eligibility due to Medicaid expansion, plus another 4 million who were already eligible for Medicaid under pre-ACA rules, but who had enrolled due to outreach and enrollment assistance efforts since the ACA was implemented.

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 states will have Medicaid in 2021?

As of 2021, Medicaid has been expanded in 38 states and DC (you can click on a state on this map for more information about each state):

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.

Who is opposed to health care expansion?

Republican Florida Gov. Ron DeSantis' office said he was opposed, declining health care coverage for approximately 800,000 people. South Carolina Gov. Henry McMaster's spokesperson told the Washington Times that the governor "is not for sale" and would not support expansion for about 300,000 residents. South Dakota Gov. Kristi Noem has also signaled her continued opposition, which would leave about 50,000 people in the state without coverage.

Is Corbin's bill considered Medicaid expansion?

Corbin did not respond to a request for comment, but North Carolina Senate Republican leadership said his bill is unrelated to the federal Medicaid expansion incentives and could not be considered traditional Medicaid expansion.

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 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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