Medicaid: Some States Expand, While Others Debate.

AuthorStanford, Emily

The Affordable Care Act expanded Medicaid coverage for nonpregnant adults ages 19-64 with income up to 138% of the federal poverty level. Thirty-six states and the District of Columbia have adopted the expansion, while other states continue to debate it and other options.

In November 2018, ballot initiatives to expand Medicaid in accordance with the ACA passed in Idaho, Nebraska and Utah. All three state legislatures passed corresponding legislation that modified the initiatives. Idaho and Nebraska both authorized Medicaid eligibility up to 138% of the federal poverty level, and Utah authorized coverage up to 100%. Idaho, rather than providing traditional coverage, will assist newly Medicaid-eligible adults in purchasing plans on the private marketplace. All three states added work requirements to their expansions, despite current federal injunctions on such requirements in other states. And all three are currently designing 1115 waivers to...

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