Supplemental Security Income for People with Disabilities: Implications for Medicaid

    States generally must provide Medicaid to poor people with a disability who receive federal Supplemental Security Income (SSI). We describe key characteristics of SSI enrollees, explain the SSI eligibility criteria and eligibility determination process, and consider the implications of changes in the SSI program for Medicaid, including the effects of the COVID-19 pandemic and resulting economic downturn and proposals supported by President Biden that Congress might consider.
  • U.S. Territories

    Challenges in the U.S. Territories: COVID-19 and the Medicaid Financing Cliff

    The pandemic has exacerbated long-standing health care challenges faced by Puerto Rico and other U.S. territories. The expiration of a temporary Medicaid funding at the end of September would result in the loss of over 80% of U.S. territories’ Medicaid funding and could result in reductions in coverage, services, and provider rates.
  • Coverage Gap

    Taking A Closer Look At Characteristics of People in the Coverage Gap

    Twelve states have not adopted the ACA Medicaid expansion to adults with incomes through 138% of poverty, leaving 2.2 million people in the coverage gap. They would be eligible for Medicaid if their state adopted the expansion but currently do not qualify for Medicaid and have incomes below poverty, making them ineligible for subsidies in the ACA Marketplace. As policy makers debate whether and how to extend coverage to people in the gap, understanding the characteristics of this group can help inform policy decisions.
  • Medicaid Expansion

    The Status of Medicaid Expansion in Missouri and Implications for Coverage and Cost

    Missouri voters last year approved a ballot measure to expand Medicaid as of July 1, 2021. A state court ruling put the expansion in limbo. At stake is Medicaid eligibility for 127,000 uninsured nonelderly adults who fall into the ACA coverage gap. If Missouri does not expand Medicaid, the state would forgo over $1 billion in federal money in fiscal years 2022-2023. Estimated state costs of expansion during this time are $310 million.
Medicaid Budget Survey

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