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Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State

This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview map and figure, detailed waiver topic tables, and explanatory briefs.

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The Henry J. Kaiser Family Foundation

A Comprehensive Review of Research Finds That the ACA Medicaid Expansion Has Reduced the Uninsured Rate and Uncompensated Care Costs in Expansion States, While Increasing Affordability and Access to Care and Producing State Budget Savings   

Multiple studies over the last five years find that the Affordable Care Act’s Medicaid expansion has increased health coverage, affordability, and access to care while producing budget savings for states and reductions in uncompensated care costs for hospitals and clinics, according to a KFF review of more than 300 studies…

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The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review

This issue brief summarizes findings from 324 studies of the impact of state Medicaid expansions under the ACA published between January 2014 (when the coverage provisions of the ACA went into effect) and June 2019. It includes studies, analyses, and reports published by government, research, and policy organizations using data from 2014 or later. This body of research suggests that the expansion presents an opportunity for gains in coverage, improvements in access and financial security, and economic benefits for states and providers.

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Understanding the Intersection of Medicaid and Work: What Does the Data Say?

Under the Trump Administration, CMS issued guidance for state Medicaid waiver proposals that would impose work requirements in Medicaid as a condition of eligibility, and several states have received approval for or are pursuing these waivers. This issue brief provides data on the work status of non-dual, non-SSI, nonelderly adults enrolled in Medicaid to understand the potential implications of work requirement proposals in Medicaid. It shows that the majority of adults in this group are already working, and those who are not report major impediments to their ability to work such as illness or caregiving responsibilities.

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Status of State Action on the Medicaid Expansion Decision

Status of State Medicaid Expansion Decisions: Interactive Map

This page displays an interactive map of the current status of state decisions on the Affordable Care Act’s Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below the map.

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The Henry J. Kaiser Family Foundation

Medicare-for-All Would Eliminate Most or All of Medicaid, But No One Is Talking About It

In this Axios column, Drew Altman explores the large implications of eliminating Medicaid in a Medicare-for-all system—an issue that has not received much attention in the current debate.

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The Henry J. Kaiser Family Foundation

Explaining Texas v. U.S.: A Guide to the 5th Circuit Appeal in the Lawsuit Challenging the Affordable Care Act 

The outcome of the Texas v. U.S. legal challenge to the Affordable Care Act (ACA) could have far-reaching consequences for the nation’s health system, from rolling back the expansion of Medicaid to removing protections for people with pre-existing conditions and revoking the ability of adult children to stay on their…

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Explaining Texas v. U.S.: A Guide to the 5th Circuit Appeal in the Case Challenging the ACA

This issue brief answers key questions about Texas v. U.S., the case challenging the Affordable Care Act, leading up to the oral argument on appeal.

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HHS’s Proposed Changes to Non-Discrimination Regulations Under ACA Section 1557

This analysis examines the Department of Health and Human Services (HHS) proposed rule revising the regulations implementing Section 1557 of the Affordable Care Act. Section 1557 prohibits discrimination based on race, color, national origin, sex, age, and disability in health programs and activities receiving federal financial assistance. It examines the significant ways that the proposal would narrow the scope of the existing HHS implementing regulations.

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Key State Policy Choices About Medical Frailty Determinations for Medicaid Expansion Adults

This issue brief answers 3 key questions and provides new data about state medical frailty determinations, which are assuming greater importance as more states adopt restrictive Section 1115 waivers that exempt medically frail enrollees from policies such as work requirements and premiums. The findings are excerpted from our 50-state survey on Medicaid financial eligibility for seniors and people with disabilities.

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