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The triggers make it politically easier for state lawmakers to end Medicaid expansion because they would not have to take any new action to cut coverage, said Edwin Park, a research professor at ...
Several states have trigger laws where if federal funding drops, so would Medicaid expansion. NC 1 of 9 states that could halt Medicaid expansion if Trump cuts funding Skip to main content
In non-expansion states, people below the poverty level get no help, because private insurance subsidies are available only to people who earn more than that. If the Affordable Care Act were repealed, the national uninsured rate would rise, a trend that would hit hardest in those states that had more uninsured before the law.
For states that do expand Medicaid, the law provides that the federal government will pay for 100% of the expansion for the first three years, then gradually reduce its subsidy to 90% by 2020. [90] [91] As of August 2016, 31 states and the District of Columbia have expanded Medicaid. [76] (See: State rejections of Medicaid expansion).
As initially passed, the ACA was designed to provide universal health care in the U.S.: those with employer-sponsored health insurance would keep their plans, those with middle-income and lacking employer-sponsored health insurance could purchase subsidized insurance via newly established health insurance marketplaces, and those with low-income would be covered by the expansion of Medicaid.
Sebelius that states do not have to agree to this expansion to continue to receive previously established levels of Medicaid funding, and 19 Republican-controlled states have chosen to continue with pre-ACA funding levels and eligibility standards. Expanding Medicaid in these 19 states would expand coverage for up to four million people. The ...
In 2021, Medicaid’s improper payments reached nearly $100 billion. That year, the program spent a staggering one in every five dollars incorrectly. Even Medicaid’s proper payments are inefficient.
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