- Ends ACA funding, partially replaces it with a block grant that expires after 2026.
- Shifts funding from Medicaid expansion states to non-expansion states.
- No Medicaid coverage for childless adults.
- Caps federal funds to states for the traditional Medicaid program.
- Eliminates funding for Medicaid family planning at Planned Parenthood clinics for 1 year.
Federal funding for the Children’s Health Insurance Program (CHIP), which covered 8.9 million children in FY 2016, is set to expire on September 30, 2017.
- What are Section 1115 Medicaid waivers?
- 33 states have 41 approved waivers; 18 states have 21 pending waivers.
- Detailed tables track waivers by state and topic.
- CHIP reauthorization and other health care legislation
- Medicaid waivers and other administrative actions
- Other initiatives
Our summary reviews findings from 108 studies of the impact of state Medicaid expansions under the ACA published between January 2014 and January 2017.
As some states consider tying Medicaid eligibility to a work requirement, a new brief draws on experiences with the Temporary Assistance for Needy Families program.
The Children’s Health Insurance Program covers 8.4 million children with family incomes above Medicaid eligibility limits. New legislative authority is needed to continue funding beyond September 2017.
In the debate about Medicaid’s future, some critics have made statements at odds with data, research, and basic information about Medicaid. Let’s get the facts straight.
We look at waivers that implement the ACA’s Medicaid expansion and highlight themes in approved, pending, and denied provisions to date as well as key issues to watch.
Section 1115 waivers provide states an avenue to test new approaches in Medicaid that differ from federal program rules. They generally reflect priorities identified by states and the Centers for Medicare and Medicaid Services (CMS).
- Work requirements
- Time limits
- Premiums with lock-out for nonpayment
Our fact sheets highlight the role and reach of Medicaid in every state.
- A 1-page distillation of information and statistics about the opioid epidemic and Medicaid’s role in covering addiction treatment services.
- Related slideshow: The Evolving Opioid Epidemic and Medicaid’s Growing Role in Treatment
A look at Medicaid’s role for 52 million nonelderly children and adults living in the most rural areas in the United States.
Total newly eligible Medicaid expansion
enrollees: 10.7 million
- Medicaid, the primary payer for nursing home care, covers 6 in 10 nursing home residents.
- 1 in 3 people turning 65 will require nursing home care at some point in his or her life.
Behavioral health conditions affect a substantial number of people in the U.S. and are especially common among people with low incomes. Our brief looks at the key role Medicaid plays in covering and financing behavioral health care.
Medicaid Restructuring and Special Populations
Our 2014 data shows Medicaid per enrollee spending varies greatly across states and groups of enrollees. It is higher, on average, among the aged and individuals with disabilities due to the higher use of acute services and long-term care, and lower for other adults and children.
- Medicaid plays an important role for individuals with mental health conditions, particularly those with low incomes
- Adults with mental illness on Medicaid more likely to receive treatment than those with private insurance or no insurance
- Receipt of psychiatric medication is more common among adults on Medicaid compared to those with private insurance or no insurance