Current Rundown of State Medicaid Expansion Decisions

A recent AP report discussed the current status of state decisions concerning the issue of Medicaid expansion. It was noted that 20 states, mostly democratic-leaning, and the District of Columbia have accepted expansion. Some 13 GOP-oriented states have declined, citing the cost of Medicaid and a lack of trust about federal funding. It is reported that Florida and Missouri appear unlikely to reach a consensus prior to the end of their current legislative sessions. [More]

CMS Issues Final Rules on Medicaid Expansion FMAP

The Centers for Medicare and Medicaid Services (CMS) issued final rules on April 2, 2013 on calculating Medicaid expenditures that will qualify for enhanced federal medical assistance percentages (FMAP) under section 2001 of the Affordable Care Act. The enhanced federal matching will apply to state expenditures for services delivered to a new Medicaid eligibility group encompassing over 16 million adults aged 19-64, with modified adjusted gross income (MAGI) below 133 percent of the federal poverty level, who would have been ineligible in most states before the ACA. [More]

DHHS Secretary Sebelius Commits to Implement Federal Basic Health Plan Option in 2015

In a letter to U.S. Senator Maria Cantwell on March 22, US Department of Health and Human Services (DHHS) Secretary Kathleen Sebelius committed to launching a cost-saving Federal Basic Health Plan Option (FBHPO) in 2015. The FBHPO offers coverage to those ineligible for Medicaid with incomes between 138 and 200% of the federal poverty level (FPO). According to Sebelius’s letter, the FBHPO will be fully operational separate from state exchanges, including funding based on the 95% estimated tax credits. The Centers for Medicare & Medicaid Services (CMS) will issue proposed rules for public comment in 2013, and final rules in the first quarter of 2014. For states that choose not to implement the FBHPO, consumers with incomes between 138 and 400% of the FPL would be eligible for insurance coverage via the exchange. [More]