Health Reform Hub

Medicaid Expansion

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National Disability Navigator Resource Collaborative Fact Sheet on Civil Rights of People with Disabilities

his fact sheet is to clarify some of the issues that may arise for Navigators when applicants and participants in the Marketplace need reasonable accommodations or policy modifications from Navigators, Assisters and Certified Application Counselors. It is intended to be a practical supplement that will help Navigators to evaluate how to best help consumers with various disabilities gain an equal opportunity to participate fully, privately and independently in all aspects of the Marketplace, including federally funded consumer assistance programs and activities.



Health Care Toolkit for State Budget Officers: Resources for Implementing the Affordable Care Act and other Health Care Reforms

State budget officers provide a unique perspective on how the crucial delivery of a key service such as health care fits into the framework of state budgets. This report from the National Association of State Budget Officers looks at five core areas pertinent to state budgets as a means to analyze the implementation of the Affordable Care Act and other health reforms.



Consumer Assistance Resource Guide: American Indians and Alaska Natives

Early evidence from across the nation suggests that consumer assisters are playing a vital role in helping people enroll in the new coverage options made possible by the ACA. The Robert Wood Johnson Foundation State Health Reform Assistance Network has engaged with a number of states to develop easy-to-understand materials to educate consumer assisters about various issues that may confuse consumers and the assisters trying to help them during the eligibility determination and enrollment process. This guide, developed by the Center for Health Care Strategies, was created to help consumer assisters answer some of the most common eligibility and enrollment questions related to coverage for American Indians and Alaska Natives (AI/AN).



Alternative Medicaid Expansion Models: Common Themes

Of the states implementing Medicaid expansions, four states - Arkansas, Iowa, Michigan, and Pennsylvania -- have bypassed the Affordable Care Act's conventional expansion pathway and are pursuing alternative models. This fact sheet highlights four common themes from these alternative models, including reliance on the private insurance market, emphasis on healthy behaviors, exemptions from Medicaid rules, and limits or contingencies.



Reaching Vulnerable Populations Through Health Reform

The ACA has the potential to dramatically improve rates of health insurance coverage for low-income Americans, including many vulnerable populations. This fact sheet highlights particularly vulnerable populations that could benefit from insurance coverage, but may have trouble getting access, including: (1) racial and ethnic minority populations; (2) homeless individuals; (3) the jail-involved population; and (4) veterans. The fact sheet outlines opportunities to connect these individuals to coverage with an eye toward the next open enrollment period.



A Closer Look at the Impact of State Decisions Not to Expand Medicaid on Coverage for Uninisured Adults

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The Medicaid expansion is a core component of the ACA, designed to fill longstanding gaps in health coverage for adults. However, the July 2012 Supreme Court ruling on the Affordable Care Act effectively made the Medicaid expansion a state option, and as of April 2014, 24 states are not moving forward with the Medicaid expansion at this time. In states that do not implement the Medicaid expansion, millions of low-income adults that could have gained Medicaid will remain ineligible for the program.



How is the ACA Impacting Medicaid Enrollment?

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In early April 2014, the Centers for Medicare and Medicaid Services reported that as of the end of February 2014, Medicaid and CHIP enrollment had increased by over 3 million since open enrollment began for the new Health Insurance Marketplaces in October 2013. Understanding the ACA's impact on Medicaid enrollment remains complex given that the ACA promotes increased Medicaid enrollment in varied ways, including changes in eligibility, modernization and simplification of enrollment processes, and increased outreach and enrollment efforts. This brief discusses the new data and its interpretation to assess the influence of the ACA on Medicaid enrollment.



Information for People on Medicaid Home and Community-Based Services Waiver Waiting Lists

A Fact Sheet from the National Disability Navigator Resource Collaborative

This fact sheet is intended to provide Navigators, Assisters and Certified Application Counselors with information about people with disabilities who are on the Medicaid Home- and Community-Based Services (HCBS) Waiver waiting list. HCBS waiver recipients and their families can seek health insurance through the Marketplace or through Medicaid expansion if that is occurring in their state, and will have concerns about continuity of care and other issues that are common to many people with disabilities, as well as a few issues that are unique to potential HCBS waiver recipients.



CBO Finds Health Reform's Medicaid Expansion Is an Even Better Deal for States

Congressional Budget Office (CBO) estimates released last week show that health reform's Medicaid expansion, which many opponents wrongly claim will cripple state budgets, is an even better deal for states than previously thought. CBO has sharply lowered its estimates of the costs to states of adopting the Medicaid expansion.



How Will the Uninsured Fare Under the Affordable Care Act?

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The June 2012 Supreme Court ruling made the Medicaid expansion optional for states. As a result, while many non-elderly uninsured individuals may gain coverage through the expansions in 2014, millions of uninsured adults who would have been newly-eligible for Medicaid will remain without a coverage option. This fact sheet covers uninsured adults in states that do not expand Medicaid.



Medicaid Expansion Through Premium Assistance: Arkansas, Iowa, and Pennsylvania's Proposals Compared

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Arkansas, Iowa, and Pennsylvania have proposed implementing the Affordable Care Act's (ACA's) Medicaid expansion by using Medicaid funds as premium assistance to purchase coverage in Marketplace Qualified Health Plans (QHPs) for some or all newly eligible beneficiaries. This fact sheet compares the states' proposals.



The Coverage Gap: Uninsured Adults in States that Do Not Expand Medicaid

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This issue brief from the Kaiser Family Foundation explains the current state of uninsured adults in states that do not expand Medicaid under the ACA.



Proposed Standards for Navigators and Consumer Assistance Counselors: Preemption of Certain State Navigator Regulatory Laws

A brief from Health Reform GPS

Many states have created policies regulating the activities of navigators created by the Affordable Care Act. On March 17, 2014, HHS released a proposed rule in public view form that addresses a variety of issues including Exchanges, Navigators and Non-Navigator consumer assistance personnel. This brief explains and provides context for the proposed rule.



Basic Health Program Final Regulations

A brief from Health Reform GPS

On March 7, 2014, the Centers for Medicare and Medicaid Services (CMS) published final regulations implementing the Affordable Care Act's Basic Health Program (BHP) market option. The BHP is an optional program for states to provide protections for people who may "churn" between Medicaid and the Marketplaces. This brief explains the final regulations from CMS.



Medicaid and Marketplace Eligibility Changes Will Occur Often In All States; Policy Changes Can Ease Impact

Under the Affordable Care Act (ACA), changes in income and family circumstances are likely to produce frequent transitions in eligibility for Medicaid and health insurance Marketplace coverage for low- and middle-income adults. This Health Affairs article provides state-by-state estimates of potential eligibility changes ("churning") if all states expanded Medicaid under health reform, and identifies predictors of rates of churning within states.

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