Status of State Action on the Medicaid Expansion Decision, a...

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Status of State Action on the Medicaid Expansion Decision, as of September 30, 2013
change indicator (http://kff.org/state-category/health-reform/medicaid-and-health-reform-health-reform/)

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Timeframe:
2013

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Locations:

United States, States

WA MT OR ID WY NE UT CO KS MO KY TN AR MS TX AK LA FL AL GA IA IL IN OH WV VA NC SC SD ND MN WI MI PA NY VT

NH

ME

MA RI CT NJ DE MD DC

NV CA

AZ

NM

OK

HI

A committee to further study the Medicaid expansion has been established.

Legislation authorizing the Medicaid expansion has Passed Legislation been signed into law. prohibiting implementation of the Medicaid expansion without legislative approval

with no legislation authorizing the Medicaid expansion.

Medicaid expansion has been vetoed by the Governor.

Status of State Action on the Medicaid Expansion Decision, as of September 30, 2013
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Location United States Alabama Alaska Arizona Arkansas1 California Colorado Connec0cut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa1 Kansas

Key Legislative Activity

Legisla0on authorizing the Medicaid expansion has been signed into law. Legisla0on authorizing the Medicaid expansion has been signed into law. Legisla0on authorizing the Medicaid expansion has been signed into law. Legisla0on authorizing the Medicaid expansion has been signed into law. Legisla0on authorizing the Medicaid expansion has been signed into law.

Legisla0ve session ended with no legisla0on authorizing the Medicaid expansion.

Legisla0on authorizing the Medicaid expansion has been signed into law.

Legisla0on authorizing the Medicaid expansion has been signed into law.

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Location Kentucky Louisiana Maine Maryland MassachuseFs Michigan1 Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire3 New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania1 Rhode Island South Carolina South Dakota Tennessee1 Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Key Legislative Activity

Legisla0on authorizing the Medicaid expansion has been vetoed by the Governor. Legisla0on authorizing the Medicaid expansion has been signed into law. Legisla0on authorizing the Medicaid expansion has been signed into law. Legisla0on authorizing the Medicaid expansion has been signed into law. Legisla0on authorizing the Medicaid expansion has been signed into law.

A commiFee to further study the Medicaid expansion has been established.

A commiFee to further study the Medicaid expansion has been established. Legisla0on authorizing the Medicaid expansion has been signed into law.4 Legisla0on authorizing the Medicaid expansion has been signed into law. Legisla0on authorizing the Medicaid expansion has been signed into law. Passed Legisla0on prohibi0ng implementa0on of the Medicaid expansion without legisla0ve approval Legisla0on authorizing the Medicaid expansion has been signed into law.

Legisla0on authorizing the Medicaid expansion has been signed into law.

A commiFee to further study the Medicaid expansion has been established.

Passed Legisla0on prohibi0ng implementa0on of the Medicaid expansion without legisla0ve approval Passed Legisla0on prohibi0ng implementa0on of the Medicaid expansion without legisla0ve approval

A commiFee to further study the Medicaid expansion has been established. Legisla0on authorizing the Medicaid expansion has been signed into law.

Passed Legisla0on prohibi0ng implementa0on of the Medicaid expansion without legisla0ve approval

notes
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Notes

A central goal of the Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and new Health Insurance Exchanges. The ACA expands Medicaid coverage for most low-income adults to 138% of the federal poverty level (FPL) ($15,856 for an individual or $26,951 for a family of three in 2013). Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. For additional information on the cost and coverage implications of the Medicaid expansion, see the following KCMU resources: The Cost of Not Expanding Medicaid (http://kff.org/medicaid/report/the-cost-of-not-expanding-medicaid/) (July 2013) and Analyzing the Impact of State Medicaid Expansion Decisions (http://kff.org/medicaid/issue-brief/analyzing-the-impact-of-statemedicaid-expansion-decisions/) (July 2013). Data reported here are as of September 30. It is important to note that per CMS guidance, there is no deadline for states to implement the Medicaid expansion.
Sources

Executive Activity - Based on KCMU analysis of State of the State Addresses, budgets proposed by Governors, as well as other recent public statements made by the Governor. Legislative Session - Information from the National Conference of State Legislatures and review of state legislative websites. Current Status of Medicaid Expansion Decisions - States decisions about the Medicaid expansion as of September 30, 2013. Based on data from the Centers for Medicare and Medicaid Services, available at: http://medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Medicaid-and-CHIP-Eligibility-Levels /medicaid-chip-eligibility-levels.html (http://medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward2014/Medicaid-and-CHIP-Eligibility-Levels/medicaid-chip-eligibility-levels.html).
Definitions

Executive activity was categorized as Opposing, Supporting, or Weighing Options for the Medicaid

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expansion based on statements made by Governors in budget documents, State of the State Addresses, or other recent public statements. Weighing Options includes states where no official statement, either supporting or opposing the Medicaid expansion, has been made, if the budget did not include a decision on the Medicaid expansion, the Governor has indicated he/she is leaving the decision to the legislature, or the Governor has indicated he/she is awaiting additional guidance or analysis. Key Legislative Activity - This column records key legislative activity, such as legislation being passed by one body of the legislature. It is not intended to be a comprehensive list of all legislative activity occurring at the state level. Requirements for legislation to implement the Medicaid expansion vary across states; some states will require authorizing language and/or budgetary authority to implement the expansion while others may not.

Footnotes
1. Exploring an approach to Medicaid expansion likely to require waiver approval. 2. On September 3, 2013, Indiana received a one-year extension for its existing 1115 waiver program, the Healthy Indiana Plan (HIP). 3. Discussion of a special session being called on the Medicaid expansion. 4. Governor Christie signed into law budget legislation (S3000) which included authorization of the Medicaid expansion. The Governor separately vetoed a stand-alone bill that authorized the expansion (S2644).

n ne ew w& &u up pd da at te ed d iin nd diic ca at to or rs s

Updated | October 02, 2013

Status of State Action on the Medicaid Expansion Decision, as of September 30, 2013
(http://kff.org/health-reform/state-indicator/stateactivity-around-expanding-medicaid-underthe-affordable-care-act/)

Updated | May 28, 2013

State Decisions For Creating Health Insurance Marketplaces

(http://kff.org/health-reform/state-indicator/healthinsurance-exchanges/)

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