Following a successful ballot measure on Aug. 4, Missouri became the 38th state (plus D.C.) to adopt the Affordable Care Act’s Medicaid expansion. The approved measure adds Medicaid expansion to the state’s constitution. Missouri is the second state to expand Medicaid during the coronavirus pandemic, after a ballot measure passed in Oklahoma in June. Twelve states have not adopted expansion.
The large number of COVID-19 cases and deaths among people in long-term care facilities has brought renewed attention to whether there has been sufficient federal and state oversight of nursing homes, whose residents are among the most vulnerable to serious illness and death if infected with the novel coronavirus. We review the current landscape, answer key questions about nursing home oversight and regulations, and explain how federal policy has changed due to the pandemic.
As people lose jobs and income due to the COVID-19 crisis, a growing number will become eligible for Medicaid. We examine the range of actions states can take to expand Medicaid eligibility and make it easier for people to enroll via existing state options and waivers.
Information on approved Medicaid emergency authorities to address the COVID-19 Coronavirus emergency. We include details on Medicaid Disaster Relief State Plan Amendments (SPAs), other Medicaid and CHIP SPAs, and other state-reported administrative actions; Section 1115 Waivers; Section 1135 Waivers; and 1915 (c) Waiver Appendix K strategies.
States are taking aggressive action to slow down the spread of the novel coronavirus and prepare their health care systems for dealing with those who become ill with COVID-19, the disease the virus causes. This tool features state-level data on COVID-19 cases and deaths, state policy actions, and data about health coverage and provider capacity within each state.
Low-wage workers tend to work in service industries — such as the restaurant, hospitality and retail sectors – that are especially at risk for loss of income during the COVID-19 pandemic, or in jobs such as health care workers, grocery store workers and delivery drivers, where they may continue to work but face a higher risk of contracting the disease
Millions of Americans rely on Medicaid drug coverage both for treating acute problems and for managing ongoing chronic or disabling conditions. Though optional, all states provide pharmacy benefit coverage in Medicaid and administer the benefit in different ways within federal guidelines. Our state fact sheets offer a snapshot of the administration and delivery of Medicaid pharmacy benefits in each state. They are based on data from a survey of states conducted between June and December 2019.
The temporary boost in federal Medicaid funding enacted as part of FFCRA will soften the economic blow of COVID-19 on states, but it’s unlikely to fully offset state revenue declines or forestall budget shortfalls stemming from the pandemic. The $64B in fiscal relief that states could receive if the temporary FMAP increase were extended through Sept. 2021 still would be small relative to projected revenue losses, and states likely would need to make big cuts to their budgets.
Most (62%) of the 22 million adults with Medicaid coverage in the U.S. who are not eligible for both Medicare and Medicaid, and who do not receive federal disability payments, are already working full- or part-time. We highlight data related to the work status and financial security of Medicaid adults prior to the coronavirus pandemic as well as findings from focus groups conducted with Medicaid enrollees in January 2020.