See the latest information regarding states’ decisions about adopting the Medicaid expansion.
This brief provides Medicaid highlights from governors’ proposed budgets for state FY 2019. We reviewed 39 proposed state budgets and text from 46 state-of-the-state speeches.
Our summary reviews findings from 202 studies of the impact of state Medicaid expansions under the ACA published between January 2014 and February 2018.
- More than half (55%) of those eligible to pay premiums during the first two years of implementation failed to do so.
- The top two reasons people never enrolled in or lost HIP 2.0 coverage were affordability and confusion about the payment process.
- Many people who never got or lost HIP 2.0 coverage for failing to pay a premium were uninsured.
Use our interactive map to view states’ approved and pending waivers according to category:
- Medicaid expansion
- Work requirements
- Eligibility and enrollment restrictions
- Benefit restrictions, co-pays, healthy behaviors
- Behavioral health
- Managed Long Term Services and Supports
- Delivery system reform
What Did CMS Approve in the Indiana and Kentucky Medicaid Waivers?
How Might Medicaid Adults with Disabilities Be Affected By Work Requirements in Section 1115 Waiver Programs?
Waivers that condition Medicaid eligibility on meeting a work requirement could adversely affect people with disabilities who have limitations that interfere with their ability to work but do not rise to the SSI level.
Community health centers are a key component of the health care system, providing access to comprehensive primary care in underserved communities.
- Plan Characteristics, Enrollees, and Services
- Provider Networks and Access to Care
- Member Experience and Access to Care
- Provider Payment and Delivery System Reform
Rising Medicaid spending on prescription drugs has prompted many states to look for new ways to control such costs. We look at current state initiatives aimed at addressing the issue.
Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending
- How Do Medicaid/CHIP Children with Special Health Care Needs Differ from Those with Private Insurance?
Recently approved and proposed waivers and other proposed policies include new eligibility and enrollment requirements and restrictions that run counter to the ACA’s streamlined processes.
A 1-page distillation of information and statistics about the opioid epidemic and Medicaid’s role in covering addiction treatment services.
- 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