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 4. Kansas 5. Mississippi 6. North Carolina 7. South Carolina 8. South Dakota 9. Tennessee
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 2. Florida 3. Georgia 4. Kansas 5. Mississippi 6. North Carolina 7.
What happens if the state forgoes the ACA Medicaid expansion?
However, by forgoing the ACA Medicaid expansion, the state ends up paying more for partial expansion than it would have under full ACA Medicaid expansion.
Why are Republicans refusing to expand Medicaid in some states?
In those that have refused to expand Medicaid, Republicans in power have maintained that their states cannot afford to pursue the measure and their opposition has become more ideological over time.
Will Medicaid expansion happen in Nebraska?
Expansion advocates are also turning to legal action in neighboring Nebraska, a state where voters also approved Medicaid expansion in 2018 after the state legislature refused to do so six times. Last fall the expansion began with a two-tiered system to get coverage.
Why did Georgia not expand Medicaid?
Medicaid expansion is a provision of the Affordable Care Act, and states have to opt-in to participate. The federal government pays 90% of the cost, and states pick up the rest. But for years, Georgia's governors declined, saying it would be too expensive long-term.
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.
How many states have adopted 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.
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.
Did Wisconsin expand Medicaid?
But because Wisconsin has not expanded Medicaid, the state is only receiving its regular federal match rate of 59.36%, and the state is paying the rest (the federal matching rate has been temporarily increased by federal legislation, in order to address the COVID-19 pandemic; Wisconsin's federal Medicaid funding has ...
Did Oklahoma expand Medicaid?
Oklahoma has successfully expanded Medicaid, as more than 210,000 Oklahomans have enrolled in expansion and there have been substantial declines in the uninsured rate across all demographics.
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).
Why did California expand Medicaid?
“This expansion of Medi-Cal supports the Newsom Administration's vision of a Healthy California for All by addressing health coverage disparities that disproportionately impact disadvantaged communities.
Did NC expand Medicaid?
In addition to North Carolina, states that have not expanded Medicaid eligibility are Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, South Dakota, Tennessee, Texas, Wisconsin and Wyoming.
Can adults get Medicaid in Tennessee?
The Affordable Care Act (ACA) allows states to expand Medicaid eligibility to all adults with incomes up to 138% of the federal poverty level (FPL) – regardless of their health or parental status. Tennessee has not expanded TennCare eligibility under the ACA.
Does Tennessee participate in Obamacare?
In Tennessee, Affordable Care Act (Obamacare) open enrollment is over, but you may still qualify for 2022 coverage. This website provides information about getting health insurance under the Affordable Care Act (ACA), including: whether you must get health insurance.
Did Tennessee expand Medicaid under ACA?
Medicaid expansion was designed to extend Medicaid benefits to groups who previously did not qualify for the program. Under the ACA's Medicaid expansion, individuals and families with incomes at or below 138 percent of the federal poverty line ($17,609/year for a single person) would be eligible.
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.
Who introduced the Cover Now Act?
The COVER Now Act, introduced by Rep. Lloyd Doggett, D-Texas, would empower local jurisdictions to expand Medicaid. So, if you live in Austin, Texas, maybe you could get Medicaid, even if someone in Lubbock still couldn't. The political and logistical challenges would be tough, policy analysts say.
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.
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.
What is the FMAP rate for Medicaid expansion?
To avoid giving current expansion states a financial incentive to reverse their decisions, however, the federal government could increase the matching rate — the Federal Medical Assistance Percentage (FMAP) — from 90 percent to 100 percent for the ACA Medicaid expansion population in those states.
Why is Medicaid enrollment higher than Option 1?
Medicaid enrollment increases for the same reason as in Option 1 but is higher because the increase in marketplace enrollment is much larger . The number of uninsured falls by 4.6 million people, including 269,000 who leave ACA-noncompliant nongroup coverage.
How much will the federal government spend on medicaid in 2022?
With Medicaid expansion, the federal government increases spending by $30.5 billion in 2022, or $366 billion over 10 years. Medicaid spending increases by $43.1 billion but there is a reduction in marketplace subsidies ($9.7 billion) and uncompensated care ($2.8 billion) that offsets some of this.
Does Medicaid cover options 2 and 3?
The result is a drop in the uninsured of 4.1 million, including 173,000 who leave noncompliant nongroup coverage. Medicaid expansion thus does not cover as many people as Options 2 and 3 (enhanced subsidies), because there is no change in affordability above 138 percent of FPL.
Is marketplace subsidy a substitute for Medicaid expansion?
A federal policy that extends marketplace subsidy eligibility below 100 percent of FPL may not be a complete substitute for Medicaid expansion. But we find that it would provide comprehensive coverage to millions of low-income people in nonexpansion states who would otherwise be left uninsured.
