Medicare Blog

why viirginia is against medicare expansion

by Gage Nicolas Published 1 year ago Updated 1 year ago
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Does Virginia have Medicaid expansion?

Virginia expanded Medicaid as of 2019. Medicaid expansion enrollment grew to more than 494,000 by December 2020. The long path to Medicaid expansion in Virginia. Medicaid expansion legislation included a work requirement, along with premiums and cost-sharing. but those were later withdrawn.

When did Medicaid start in Virginia?

Medicaid became effective in Virginia in July 1969, making it one of the last states in the country to implement the program (the first states to provide Medicaid did so in January 1966; note that Virginia was also five years behind many other states in implementing Medicaid expansion under the ACA).

What is the multiplier effect of Medicaid expansion on the economy?

According to Health Affairs, the multiplier effect could be as high as 2.0 for Medicaid expansion. That means for every $0.80 spent in federal Medicaid funding, the state economy would benefit from up to $1.60 in activity. 3. It offers people a level of financial protection.

Is Virginia missing out on $142 million in federal funding?

According to Medicaid expansion advocates, Virginia had been missing out on $142 million in federal funding every month since the start of 2014, as a result of not expanding Medicaid. But that changed in 2019, when federal Medicaid expansion funding started to flow into the state.

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Did Virginia take the Medicaid expansion?

The Virginia General Assembly approved Medicaid expansion as part of its FY 2019-2020 budget on May 30, 2018; Governor Northam signed the budget into law on June 7, 2018. Expansion coverage became effective under state plan amendment (SPA) authority on January 1, 2019 after enrollment began on November 1, 2018.

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.

Did West Virginia accept Medicaid expansion?

West Virginia's leaders opted to expand Medicaid under the Affordable Care Act (ACA) starting on January 1, 2014, providing coverage to low-income adults, most of whom have jobs but no option for employer-sponsored health insurance.

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 Florida opt out of Obamacare?

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

Is Tennessee expanding Medicaid?

Tennessee has not expanded Medicaid coverage (which is called TennCare) as allowed under the Affordable Care Act, which means that there are an estimated 118,000 residents in the coverage gap — ineligible for Medicaid and also ineligible for premium subsidies in the exchange.

Has kentucky expanded Medicaid?

The provision to expand Medicaid became optional for states in a federal Supreme Court ruling in 2012. In 2014, Kentucky expanded Medicaid through the Governor's authority. Kentucky's implementation of Medicaid expansion has been cited as a national model to help more families obtain affordable health insurance.

Who could Medicaid reach with expansion in North Carolina?

The ACA expanded Medicaid coverage to nearly all adults with incomes up to 138% of the Federal Poverty Level ($17,609 for an individual in 2020).

Is West Virginia an expansion state?

However, with the passage of the Patient Protection and Affordable Care Act, states were given the option of expanding Medicaid eligibility to adults with incomes up to 133% of the federal poverty level. West Virginia is one of 36 states to expand Medicaid eligibility to this population.

How many people are on Medicaid in West Virginia?

564,000 peopleMedicaid in West Virginia Over 564,000 people in West Virginia are covered by Medicaid (29% of the population), making West Virginia the state with the highest share of its population enrolled in Medicaid.

Does West Virginia have Medicaid?

The West Virginia Medicaid Program provides a medical card which may be used to receive medical care in the community or in an institutional setting, such as a nursing home. This allows those who may not be able to afford medical care the opportunity to have their health needs addressed.

How many people will be covered by Medicaid in Virginia in 2020?

By early 2020, about 375,000 people had gained coverage under the expanded eligibility guidelines.

How much is Medicaid in Virginia?

( In 2020, that’s about $17,609 for a single person, and about $29,973 for an adult in a household of three people).

What percentage of poverty is pregnant in Virginia?

Pregnant women with household incomes up to 143 percent of poverty. Virginia also offers FAMIS — Family Access to Medical Insurance Security — which provides health coverage for uninsured pregnant women who are not eligible for Medicaid, but have household incomes up to 200 percent of poverty.

What is the eligibility for Medicaid?

Eligibility: The aged, blind, and disabled. Adults under age 65 are eligible with household incomes up to 138% of FPL. Pregnant women are eligible with household incomes up to 143% of FPL. Children are eligible for Medicaid or CHIP with household incomes up to 200% of FPL.

How many people will be on medicaid in 2020?

By early 2020, about 375,000 people had gained coverage under the expanded eligibility guidelines. By December 2020, however, that number had grown to more than 494,000 people. When the job market rebounds after the pandemic recedes, some of those individuals will transition away from Medicaid.

What percentage of people in poverty are eligible for medicaid?

And people with income between 100 percent and 138 percent of the poverty level, who were previously eligible for significant premium subsidies and cost-sharing reductions in the exchange, became eligible for Medicaid instead as of 2019, with far lower out-of-pocket costs.

When did McAuliffe leave office?

McAuliffe left office in January 2018, with Medicaid expansion still on his wish list. But his successor, Governor Ralph Northam, had campaigned on the promise of expansion, and Virginia Democrats gained significant ground in the House of Delegates.

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 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, ...

Who is the governor of South Dakota?

South Dakota Gov. Kristi Noem has also signaled her continued opposition, which would leave about 50,000 people in the state without coverage. In Georgia, Gov. Brian Kemp is attempting to wage a war with the Biden administration over Medicaid work requirements — an issue the Supreme Court may soon review.

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.

Who is the Wyoming senator who helped write the stimulus bill?

“It’s the stimulus funds that are really the motivation,” said Sen. Chris Rothfuss, the Wyoming Senate minority leader who helped write the bill moving its way through the Legislature. “I think it has really changed some hearts and minds in the Legislature.”

Is Kay Ivey open to the discussion?

Many have noted Alabama Gov. Kay Ivey’s office said she is “ open to the discussion ” after she and state GOP leaders have long opposed expansion, but there is also fresh movement among some Republicans in North Carolina, Texas and in other states — something many once thought impossible.

What would Medicaid expansion provide?

Medicaid expansion would provide monetary coverage for the group of people who may normally incur bad debt for a medical provider , which would limit the costs for the insured while also limited costs for those covered by the expansion effort. 7. There is an ethical argument to consider.

What is the biggest group of uninsured individuals in the United States?

More than half of all Americans receive health insurance coverage from their employer. The biggest group of uninsured individuals are low-income, self-employed workers in the United States.

What is medicaid insurance?

February 23, 2018 by Louise Gaille. Medicaid is a health insurance program offered in the United States. It is jointly funded by the federal government and each state. It is provided for individuals who qualify based on income, age, or health need. Those who receive Medicaid are usually children, adults with a disability, ...

How does expansion affect the economy?

Expansion would reduce cost shifting issues within the economy. Cost shifting occurs when insured patients are charged more for services than uninsured patients. This financial process means that insured patients pay for the losses that are caused by uninsured patients who cannot pay at reduced costs.

What is the goal of Medicaid expansion?

The cost of expansion is minimal for the states. The goal of Medicaid expansion was to expand its coverage for adults living within 133% of the poverty line. The U.S. Supreme Court ruled that each state could choose expansion or reject it.

How much does a family of 4 need to be to qualify for Medicaid in Texas?

In the State of Texas, a family of 4 must have a monthly income of $4,172 or a yearly income less than $50,058 to qualify. Expanding Medicaid would allow more people to qualify. 2. Expansion would support local economies.

Why do medical providers offer sliding scale rates?

Medical providers offer sliding scale rates, based on income, for those who do not have formal health insurance as well to limit their costs. For many who would qualify under Medicaid expansion, their coverage would already be a low- or no-cost solution. 2. It could create delays when trying to visit a doctor.

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