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Although Medicaid expansion under ACA was a de jure voluntary initiative for states, it was intended to be implemented nationally. [26] Opponents of the legislation described the conditioning of the increased funding for Medicaid on states opting into expansion as unconstitutionally coercive, making Medicaid expansion effectively mandatory.
More than 3 million adults in nine states would be at immediate risk of losing their health coverage should the GOP […] 9 states poised to end coverage for millions if Trump cuts Medicaid ...
The difference depends on how states treat people who were added to Medicaid before the ACA expansion; they may continue to qualify even if the expansion ends. Three other states — Iowa, Idaho ...
Where Your State Stands. Between December 2013 and December 2016, the national uninsured rate fell from 17.3 percent to 10.8 percent. The decrease is much greater in states that expanded Medicaid, and the gap between the top and bottom states has grown.
Several states have trigger laws where if federal funding drops, so would Medicaid expansion.
Individual states could run their own exchanges under federal guidelines. [124] [125] Each state will create its own insurance exchange under federal guidelines. [124] Medicaid Eligibility Expanded to 150% of the federal poverty level [123] Expanded to 133% of the federal poverty level [123] Illegal Immigrants
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).
More than 1 million people have been dropped from Medicaid in the past couple months as some states moved swiftly to halt health care coverage following the end of the coronavirus pandemic.