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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]
The 10 states that saw enrollment decline the most account for nearly half (46%) of all child disenrollments since the COVID-era Medicaid and CHIP policies ended in early 2023.
As of March 2023, 40 states have accepted the Affordable Care Act Medicaid extension, as has the District of Columbia, which has its own Medicaid program; 10 states have not. [28] Among adults aged 18 to 64, states that expanded Medicaid had an uninsured rate of 7.3% in the first quarter of 2016, while non-expansion states had a 14.1% uninsured ...
Wyoming is one of 10 states without Medicaid expansion, leaving thousands of residents like Dax without coverage. As a result, the Equality State also has one of the highest uninsured rates in the ...
Several states have trigger laws where if federal funding drops, so would Medicaid expansion.
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.
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.
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 ...