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Web Briefing for Journalists: Key Issues Around Medicaid Expansion Efforts in the States

To help reporters understand the national landscape and issues surrounding the Medicaid expansion, KFF holds a web briefing exclusively for journalists with Medicaid experts Laura Snyder and Robin Rudowitz.

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The Henry J. Kaiser Family Foundation

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.

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The Henry J. Kaiser Family Foundation

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.

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The Henry J. Kaiser Family Foundation

Medicaid Expansion in Iowa

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

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The Henry J. Kaiser Family Foundation

Medicaid Expansion in Arkansas

This fact sheet summarizes key features of AR’s Medicaid expansion waiver.

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The Henry J. Kaiser Family Foundation

Medicaid Expansion in Indiana

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

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The Henry J. Kaiser Family Foundation

Proposed Medicaid Expansion in Tennessee

This fact sheet describes Tennessee’s 1115 waiver demonstration project, Insure Tennessee, which expands the State’s Medicaid program under the Affordable Care Act.

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The Henry J. Kaiser Family Foundation

Proposed Medicaid Expansion in Utah

This fact sheet provides a summary of the proposal to expand Medicaid in Utah. This has not been officially submitted to CMS and needs state legislative approval before it could be implemented.

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The Henry J. Kaiser Family Foundation

Proposed Medicaid Expansion in New Hampshire

This fact sheet provides a summary of the waiver request in New Hampshire. New Hampshire has already implemented the ACA Medicaid expansion, but state legislation required the state to submit a waiver to implement mandatory Qualified Health Plan (QHP) premium assistance beginning in January 2016.

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The Henry J. Kaiser Family Foundation

The ACA and Recent Section 1115 Medicaid Demonstration 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 three states: Arkansas, Iowa and Michigan. In addition, Pennsylvania has a waiver proposal.

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