After unanimous, bipartisan approval at the committee level, the Maryland House of Delegates passed, by an overwhelming 200-9 margin, legislation to establish a simple and seamless system for obtaining health coverage. Under the bill, an uninsured Marylander can start the enrollment process by simply checking a box on their state income tax return. That single step will let the state’s health care exchange determine eligibility for free or low-cost health insurance, based on information in the tax return. Those who qualify for Medicaid will be enrolled automatically.
Partial Expansion Does Not Really Close the Coverage Gap: The Impact of Individual Market vs. Medicaid Expansion Coverage for 100-138% FPL Population
This analysis highlights the coverage and financial burden that non-elderly adults between 100-138% of the Federal Poverty Level experience when enrolled in individual market coverage compared to coverage under Medicaid expansion. We show that Marketplace coverage is simply not adequate or appropriate for near poor individuals and families.
Due to changes made through recent federal rules issued by the Trump administration, small businesses and self-employed business owners can buy health plans through associations that are exempt from many state and federal regulations. These new rules leave consumers without important protections. For example, Association Health Plans (AHPs) don’t have to cover all of the benefits that other plans sold to individual and small businesses must cover.
States’ experience shows that Medicaid expansion at the enhanced federal match can generate state savings across multiple budget areas. Those savings can be substantial, offsetting most or all of the state’s share of expansion costs. A full analysis the budget impact of expanding Medicaid must include an assessment of those savings.
Maryland's Down Payment Plan: Helping People Get Health Insurance and Lowering Families' Health Costs
Both before and especially after President Trump and his congressional allies ended federal enforcement of the ACA’s individual mandate, several states established their own enforcement systems. Maryland’s lawmakers are proposing an innovative “down payment plan” that uses a more enrollment-oriented approach to requiring people with affordable access to health coverage to obtain insurance. Instead of imposing tax penalties on the uninsured, the Maryland proposal helps the uninsured enroll into coverage whenever possible.
Despite the Affordable Care Act’s major improvements to the country’s health insurance system, health care costs remain unaffordable for many families. Much attention has focused on the problems of people with incomes too high for federal financial assistance, but comparable or greater problems affect low-wage workers and moderate-income families.
An increasing number of states are making harmful changes to their Medicaid programs using “Section 1115 waivers.” Families USA is tracking state Medicaid waivers that restrict access to quality, affordable health care for low-income families and adults. This new grid offers an overview of the status of each state’s waiver proposal, the restrictive elements of the waiver proposal, and CMS’s decision on each element.
This analysis summarizes the SPA approval process and identifies where delays in the process might occur.
This fact sheet provides advocates and policymakers a step-by-step overview comparing the approval process and timeline to get a SPA vs. Medicaid 1115 Waiver approved.
This fact sheet provides an analysis of the various strategies states utilize to generate the state share – the 10 percent- of the costs of expanding Medicaid.