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However, the court also ruled 5–4 that Medicaid expansion without the federal threat of defunding Medicaid in non-compliant states fell within the powers afforded by the Spending Clause to Congress. [27] Adoption of Medicaid expansion by individual states was effectively optional as a result of National Federation of Independent Business. [29]
If Congress cuts federal funding, Medicaid expansion would be at risk in all states that have opted into it — even those without trigger laws — because state legislatures would be forced to ...
Several states have trigger laws where if federal funding drops, so would Medicaid expansion.
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 If the Affordable Care Act were repealed, the national uninsured rate would rise, a trend that would hit hardest in those states that had more uninsured before the law.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 public support for expansion continues to grow in holdout states, North Carolina, the most recent Southern state to pass Medicaid expansion, may offer a glimpse of the future.
The causes of this rate of uninsurance remain a matter of political debate. In 2018, states that expanded Medicaid under the ACA had an uninsured rate that averaged 8%, about half the rate of those states that did not (15%). [10] Nearly half those without insurance cite its cost as the primary factor.
Constitutional Amendment 2 August 4, 2020 Medicaid Expansion Initiative Results Choice Votes % Yes 676,687 53.27% No 593,491 46.73% Total votes 1,270,178 100.00% Yes 80–90% 70–80% 60–70% 50–60% No 80–90% 70–80% 60–70% 50–60% Source: Missouri Secretary of State, The New York Times Elections in Missouri Federal government Presidential elections 1820 1824 1828 1832 1836 1840 1844 ...
North Carolina is one of the last states without expanded Medicaid, but politicians are talking about it seriously. What does that mean for NC residents? We have answers.