States Forgo Billions in Federal Cash by Opting Out of Medicaid Expansion - Jul. 1, 2013
Nearly half the nation’s states are opting not to expand Medicaid to all of their low-income residents, leaving billions of federal dollars on the table and millions of poor Americans uninsured.
At least 21 states are opting out of Medicaid expansion for next year. In another six states, legislators are still weighing their options, according to the Kaiser Family Foundation, which is tracking the states’ plans.
The Supreme Court changed the Obamacare rules last June when it decided that governors and lawmakers could opt out of widening their Medicaid rosters. Under the original health-care reform law, all those earning less than 138% of the federal poverty line, or roughly $31,800 for a family of four, would have been eligible for Medicaid. Medicaid rules currently vary from state to state, but many states provide little to no coverage of childless, non-disabled and non-elderly adults.