Families USA has identified some of the biggest legislative victories for health care in the 2018 state legislative sessions.
This infographic shows where states stand on Medicaid expansion. One of the most important--and popular--provisions of the Affordable Care Act is the expansion of health coverage to low-income families through the Medicaid program. In the states that expanded Medicaid, many of those who benefit are hard-working people in low-wage jobs that do not offer health insurance—like waiters and waitresses, sales clerks, cooks, and home health aides.
Here are basic facts about where states stand on Medicaid expansion, along with states to watch.
Medicaid Work Requirements Aren’t About Work, They’re About Taking Health Care Away From Low-Income Americans
There is overwhelming evidence that the Administration’s actions, working with several conservative governors, are about taking coverage away from people rather than about supporting employment.
Recently, the state of Wisconsin submitted an application to the federal government seeking Medicaid waiver authority to make drug testing a condition of eligibility for the state’s adult Medicaid program--BadgerCare. This request breaks dangerous new ground; drug testing has never been allowed as part of the application process in the Medicaid program. That’s because it is illegal, it will make it harder for everyone applying for Medicaid, and it will hurt rather than help those with substance use disorders.
A key way the Affordable Care Act (ACA) helped the United States reach a dramatic drop in the uninsured rate was by expanding the Medicaid program to low and moderate income adults. Despite this success, the House Republican plan to repeal the ACA would freeze the Medicaid expansion starting in 2020. As Arizona’s experience shows, freezing the Medicaid expansion is ending the Medicaid expansion and it’s a move that gambles with the lives of millions of Americans.
The House Republicans' latest health care brief would radically restructure and cut federal funding for Medicaid. Ryan calls his policy outline “A Better Way,” but it would be anything but better for states, patients, and health care providers.
A new study about emergency room use in Oregon is fueling the debate about whether expanding Medicaid as made possible under the Affordable Care Act leads to high emergency room use. To understand what the study says—and does not say—about the impact of Medicaid expansion, it’s important to keep in mind its limitations and consider data from other recent studies.
It’s been only two months since the Louisiana Medicaid expansion—dubbed Healthy Louisiana—went into effect, and already Louisianans are reaping the benefits.
New data show that Medicaid expansion has helped over 305,000 Bayou State residents get health coverage. But coverage through Healthy Louisiana means more than just an insurance card. New enrollees are using their coverage to get vital preventive care and treatment.
With this decision, CMS is making it clear that policies that make it harder for the lowest-income people in the program to get health care are inconsistent with the goals of Medicaid. The decision also defined some boundaries regarding what is and is not appropriate for approval through the Medicaid waiver process.
Last month, Kentucky asked the federal government for approval to make significant and troubling changes to its highly successful Medicaid expansion program. To justify its request, the state asserted that these changes would help “break the cycle of poverty.” However, the results would likely be the opposite.
The fact is, by providing health insurance and helping people in the program avoid medical debt, Medicaid coverage can actually improve the financial health of its enrollees. Two recent reports, one in April and one in June, offer new evidence supporting that link.