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Should the GOP reduce extra federal Medicaid funding, more than 3 million adults in nine states would be at immediate […] 9 states poised to end coverage for millions if Trump cuts Medicaid ...
With Donald Trump’s return to the White House and Republicans taking full control of Congress in 2025, the Affordable Care Act’s Medicaid expansion is back on the chopping block.
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
Sebelius where the U.S. Supreme Court ruled that individual states could choose whether or not to expand coverage. Initially 25 states and D.C. expanded Medicaid with funding from the federal government provided by the ACA beginning in 2014, and as of Sep 26 2023 there are 41 states (including Washington, D.C.) that have expanded coverage.
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 If the Affordable Care Act were repealed, the national uninsured rate would rise, a trend that would hit hardest in those states that had more uninsured before the law.
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.
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).
Mississippi is one of 10 states that haven’t expanded Medicaid, the state and federal health insurance program for people with low incomes or disabilities. Seven of those states are in the South.