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Sunday, October 23, 2016

Mystery After The Health Care Ruling: Which States Will Refuse Medicaid Expansion?

by Charles Ornstein, ProPublica.

For many people without insurance, a key question raised by the Supreme Court’s decision today to uphold the Affordable Care Act is whether states will decline to participate in the law’s big Medicaid expansion.

Although the court upheld the law’s individual mandate to buy insurance, it found that the act could not force states to extend Medicaid to millions by threatening to withhold federal funding.

The act, signed by President Obama in March 2010, required “states to extend Medicaid coverage to non-elderly individuals with incomes up to 133 percent of the poverty line, or about $30,700 for a family of four,” according to a March 2012 report by the Center on Budget and Policy Priorities, a liberal think tank. That alone was expected to reach nearly 16 million people by 2019, one of the law’s main ways of reducing the ranks of the uninsured.

The 26 states that challenged the law before the court together account for an estimated 8.5 million people who would benefit from Medicaid’s expansion by 2019, more than half the total number, according to ProPublica’s analysis of an Urban Institute report prepared for the Kaiser Family Foundation.

Medicaid is a joint state-federal program that provides health coverage to the poor and disabled, with states putting up a portion of the money and the federal government funding the rest. Each state’s matching percentage is based on per capita income.

According to a separate Kaiser foundation report, “Medicaid currently provides health coverage for over 60 million individuals, including 1 in 4 children, but low parent eligibility levels and restrictions in eligibility for other adults mean that many low income individuals remain uninsured. The ACA expands coverage by setting a national Medicaid eligibility floor for nearly all groups.”

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  • Every governor running for office now has to answer the question whether or not he/she will allow medicaid help from the federal government.

    • highpckts

      The states are already getting help from the government. They are NOT going to pull that support! If the states decide to not expand Medicaid, they will get what they are already getting without any additional reimbursement.

    • they are not sending more money, the state has to provide the coverage at their cost. big difference. especially for states that are finacially strapped.

  • Why would anyone repeal a law that was based on one they themselves created? The Ultimate flip flop. Willard should be renamed Flipper. Too bad he’s not that smart.

  • howa4x

    That would be high negligence if a governor dosen’t take the money to expand medicaid in their state. I’m sure that the insurance companies and hospitals are going to be pounding on the state house door to demand that they take it. Hospitals are treating the uninsured through their emergency depts. When the bill isn’t paid they have to ask the state to contribute . The states usually reimburse at a rate of .50 on the dollar so the hospitals then surcharge all the other bills to make up for the difference. Insurance rates go up and so do premiums, as well as medicare. It’s all linked together.

    The other issue is that the red states are supposedly the religious ones. There is where you find creationism taught instead of science. So if you’re that into Christinanity why would you allow men, women and children to go without health care? What is the moral imperitive you are using to deny people coverage? God didn’t invent socail darwinism, we did. So what are you governors think your doing?

  • RodgerMitchell

    During the first three years, the federal government will pay 100% of the additional Medicare, thus pumping billions of dollars into the states, at no cost to the states.

    After that the federal government will pay 90%. This means that each state, by spending $100, will have an additional $1,000 pumped into its economy.

    Any governor that does not accept this deal is stupid.

  • 1standlastword

    I’m hoping as hard as I can that average Americans will take no pause to punish the GOP TP for its hostility and callousness.

    To the opponents of health care reform my invitation to you folks is to call around your family to see who is living without healthcare and ask them what they think about the law. Then ask them if they support their leadership’ refusal to expand medicaid.

  • that was read wrong. The states have to provide the medicaid to anyone who can’t afford it. That means they would have to raise revenue some way or another to pay for it. Higher taxes? more than likely. The Fed is not giving them more money. They are making the states pay for it. That is why they have the option to not accept it. Most of the states now are running in the red.