For legal and political reasons, the Trump administration has characterized using Medicaid waivers to impose work reporting requirements on Medicaid beneficiaries as experimental, relying on Section 1115 of the Affordable Care Act. Similarly, states proposing Medicaid Section 1115 waivers to add work reporting requirements have hypothesized gains in self-sufficiency, increased employment, and improved health. These are dubious claims, and many observers saw these so-called experimental projects for what they were: an attempt to kick people off Medicaid.
Kansas lawmakers are currently considering legislation that could expand Medicaid to 150,000 nonelderly, low-income Kansans. As lawmakers debate Medicaid expansion in the state’s legislature, Families USA has published a fact sheet on the impact of Medicaid Expansion on Kansas’s state budget. Click here to view the fact sheet.
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.
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.
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.