The Midterm Elections and Medicaid Expansion
A look at the ballot initiative votes in Idaho, Nebraska, Utah, and Montana, and the implications of the gubernatorial elections in Kansas, Maine and Wisconsin.
A Look at October 2018 State Data for Medicaid Work Requirements in Arkansas
- 12,277 individuals had lost coverage since September 2018 due to non-compliance
- 1,525 enrollees met the work and reporting requirements in October, and nearly two out of three were doing so by meeting SNAP requirements
- 78 percent of enrollees were exempt from the reporting requirement
What's in the Kentucky Medicaid Waiver that was Re-approved in November 2018?
- A work requirement as a condition of eligibility
- Premiums of up to 4% of income
- Multiple coverage “lock-out periods”
- Elimination of retroactive eligibility coverage and NEMT benefit for most expansion adults
- New deductible and incentive rewards accounts
The re-approved waiver includes very few changes from the version approved in January 2018.
Stewart v. Azar: Explaining the Court’s Decision on Kentucky’s Medicaid Waiver
The court blocked Kentucky’s implementation of much of the waiver and sent it back to HHS to reconsider. CMS has re-opened the comment period through August 18, 2018.
Some related resources:
The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review
Findings from 202 studies of the impact of state Medicaid expansions published between January 2014 and February 2018.
- Coverage
- Access, Utilization, Affordability and Health Outcomes
- Economic Outcomes
Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules
The pending expiration of an ACA provision regarding Medicaid spousal impoverishment rules could tip the balance of financial incentives toward institutional long-term care and away from home and community-based services.
Status of State Medicaid Expansion Decisions
Our interactive map provides the latest information regarding states’ decisions about adopting the Medicaid expansion.
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
View states’ approved and pending waivers according to topic:
- Work Requirement Waivers
- Waivers with Eligibility and Enrollment Restrictions
- Waivers with Benefit, Copay, and Healthy Behavior Provisions
- Waivers with Behavioral Health Provisions
Medicaid State Fact Sheets
An updated collection of state Medicaid fact sheets provides snapshots of Medicaid coverage and spending nationally and in each state.
Estimated Impacts of the Proposed Public Charge Rule on Immigrants and Medicaid
- Medicaid/CHIP enrollment likely to decline.
- Over 14M Medicaid and CHIP enrollees live in a household with a noncitizen.
- 94 percent of noncitizens who entered the U.S. without legal permanent resident status have characteristics the government could weigh against them in public charge determinations.
Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
We look at the key Medicaid provisions in the bipartisan anti-opioids legislation.
The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid
Nationally, 2.2M poor uninsured adults are in the “coverage gap” that results from state decisions not to expand Medicaid.
The Essentials
Trending: Medicaid's Future
- Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
- KFF Health Tracking Poll – November 2018: Priorities for New Congress and the Future of the ACA and Medicaid Expansion
- Bipartisan Majorities Support Trump Administration’s Push to Get Drug Prices in Advertisements, Even after Hearing Counter-Arguments
- Public More Likely To Trust Democratic Party To Do A Better Job Dealing With Most Health Care Issues
Must-Reads Of The Week On Health Care 