26 states have not decided whether to expand Medicaid in Jan. 2014
Tuesday, September 10, 2013
by: Policy Team

Section: Public Policy and Advocacy




The Commonwealth Foundation, in a September report entitled, “In States’ Hands: How the Decision to Expand Medicaid Will Affect the Most Financially Vulnerable Americans”, provides an up-to-date briefing on the status of state expansions of Medicaid.  According to the Foundation, 26 states have said they will not, or may not, expand their Medicaid programs in 2014.  In states that have not yet decided to expand, as many as two of five (42 percent) adults who were uninsured for any time would not have access to the new coverage provisions in the law.

In January 2014, key provisions of the Affordable Care Act will go into effect, providing new coverage options for millions of Americans who are currently without affordable health insurance. In addition to options and subsi­dies for private health plans sold through the new federal and state exchanges, states have the option of expanding eligibility for Medicaid.  However, in 2012, the Supreme Court ruled that states may decide whether or not to expand their Medicaid programs.  Individuals who are the poorest in states that are not planning to expand Medicaid could remain uninsured. 

View the Study here.

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