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The HPV Vaccine: Access and Use in the U.S.

The Food and Drug Administration(FDA) has approved three vaccines against infection by certain strains of human papillomavirus (HPV), the most common sexually transmitted infection in the United States. Initially, the vaccines were recommended only for girls and young women, but in 2011 the Centers for Disease Control and Prevention (CDC) broadened the recommendations to include boys and young men. This fact sheet discusses HPV and cancers related to the virus, such as cervical cancer, throat cancer and anal cancer. It also discusses use of the HPV vaccines for both females and males, and insurance coverage and access to the vaccines.

The ACA and Medicaid Expansion Waivers

This brief focuses on Section 1115 Medicaid demonstration waivers related to implementation of the ACA Medicaid expansion (eligible for ACA enhanced matching funds) or other coverage (not eligible for ACA enhanced matching funds). To date, the Centers for Medicare and Medicaid Services (CMS) has approved waivers to implement the Medicaid expansion in five states: Arkansas, Iowa, Michigan, Pennsylvania and most recently Indiana. In addition, Pennsylvania has a waiver proposal. In addition, New Hampshire has a proposal pending with CMS, and Governors in both Tennessee and Utah have been negotiating plans with CMS, but these plans also need to be approved by the state legislature.

Are Uninsured Adults Who Could Gain Medicaid Coverage Working?

As additional states consider whether to implement the ACA Medicaid expansion, some have raised pursuing waiver authority to tie Medicaid eligibility for adults under the expansion to work requirements. This fact sheet profiles uninsured adults who could gain Medicaid coverage under the ACA by their relationship to the workforce and job-based coverage.

An Overview of Actions Taken by State Lawmakers Regarding the Medicaid Expansion

The ACA Medicaid expansion has garnered different responses from statelawmakers – Democratics and Republicans as well as governors and legislatures. While it does not cover how every state has enacted the ACA Medicaid expansion, this fact sheet highlights some of the different actions state lawmakers have taken in response to the ACA Medicaid expansion.

Medicaid Expansion in Iowa

This fact sheet summarizes key features of IA’s Medicaid expansion waivers.

Medicaid Expansion in Indiana

This fact sheet summarizes key elements of Indiana’s Section 1115 Medicaid expansion waiver, HIP 2.0.

An Overview of New CMS Data on the Number of Adults Enrolled in the ACA Medicaid Expansion

New preliminary data from the Medicaid Budget and Expenditure System (MBES) released by CMS details for the first time the number of adults enrolled in Medicaid under the new Affordable Care Act (ACA) Medicaid expansion category. This issue brief provides an overview of the new data as well as how it differs from the Performance Indicator data.