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State Medicaid Expansion Approaches

Current Status of State Medicaid Expansion Decisions State Medicaid Expansion Approaches States Did the state adopt the Medicaid expansion?* How did the state expand Medicaid? In non-expansion states: How many uninsured adults would be eligible for Medicaid if the state expanded?* United States 33 Yes, 18…

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Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending

This issue brief describes the role that Medicaid plays for children with special health care needs. It explains common eligibility pathways, covered services, and program spending for these children. The Appendix includes 50-state data on the number of children with special health care needs covered by Medicaid/CHIP. A companion brief compares key characteristics of Medicaid/CHIP children with special health care needs to those covered by private insurance.

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How Do Medicaid/CHIP Children with Special Health Care Needs Differ from Those with Private Insurance?

This issue brief compares the demographics, health status, access to care, and coverage affordability of Medicaid/CHIP children with special health care needs to those with private insurance and those who are uninsured. Medicaid plays a key role for children with special health care needs by making coverage affordable and covering services that private coverage typically does not. Consequently, legislative proposals that would cap and reduce federal Medicaid funding may pose a particular risk to children with special health care needs and their providers. While Congress did not pass such legislation in 2017, these proposals may resurface in 2018, and the Trump Administration’s FY 2019 proposed budget continues to advance these proposals. A companion brief describes Medicaid’s role for children with special health care needs.

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The Henry J. Kaiser Family Foundation

What Initiatives Are States Considering To Control Prescription Drug Costs in Medicaid?

Rising Medicaid spending on prescription drugs has prompted many states to look for new ways to control such costs. Although drug spending increased more slowly in 2016 than in the previous two years, and although such expenditures constitute only six percent of all Medicaid spending (compared to 10% of national…

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Medicaid Waiver Tracker: Which States Have Approved and Pending Section 1115 Medicaid Waivers?

This resource tracks states with approved Section 1115 Medicaid waivers and pending waivers (which include new waiver applications, waiver amendments, and renewals). View approved and pending waivers according to waiver category. Related waiver resources are available by topic at the bottom of the page, as are additional details on each approved and pending waiver.

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Snapshots of Recent State Initiatives in Medicaid Prescription Drug Cost Control

This issue brief provides a snapshot of current state initiatives aimed at addressing the cost of prescription drugs in Medicaid.

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Key Healthcare Proposals in Governors’ Proposed Budgets for SFY 2019 from a Preliminary Look at 32 States

This issue brief presents a table showing key healthcare proposals from governors’ proposed state budget documents for SFY 2019, state-of-the-state speeches, news reports, and other budget-related documents. To date, the brief/table includes information from 32 governors’ proposed budgets and will be updated periodically as additional budgets are released and reviewed. The table captures proposals that fall into six categories: Medicaid spending cuts, Medicaid enhancements, Medicaid work requirements, other major Medicaid proposals, opioid/behavioral health proposals (both within and outside of Medicaid), and other major non-Medicaid healthcare proposals.

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Approved Changes in Indiana’s Section 1115 Medicaid Waiver Extension

On February 1, 2018, the Centers for Medicare and Medicaid Services (CMS) approved an amended extension of Indiana’s Healthy Indiana Program 2.0 (HIP 2.0) Section 1115 demonstration waiver. Indiana’s waiver initially implemented the ACA’s Medicaid expansion from February, 2015 through January, 2018 by modifying Indiana’s pre-ACA limited coverage expansion waiver (HIP 1.0). Unlike other states that implemented the ACA’s Medicaid expansion through a waiver, Indiana’s demonstration also changes the terms of coverage for non-expansion adults (low-income parents and those eligible for Transitional Medical Assistance, TMA). The February, 2018 extension continues most components of HIP 2.0 and adds some new provisions.

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Health Centers in Puerto Rico: Operational Status after Hurricane Maria

In the aftermath of Hurricane Maria, Puerto Rico’s health centers, a critical part of the island’s health care system are working to rebuild; however, recovery remains slow and plagued by many challenges. This interactive map provides a snapshot of the operational status of the 93 health center sites in Puerto Rico.

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The Henry J. Kaiser Family Foundation

Web Briefing For Journalists: A Closer Look at the Evolving Landscape of Medicaid Waivers

On Thursday, February 23, the Kaiser Family Foundation will host a web briefing for journalists to explain how block grant and per capita cap spending proposals for Medicaid would work and what the possible implications are.

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The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.