Medicaid Enrollment & Spending Growth: FY 2019 & 2020
Issue Brief
The Kaiser Family Foundation State Health Facts. Total Monthly Medicaid and CHIP Enrollment July 2019 (accessed October 2019) https://www.kff.org/health-reform/state-indicator/total-monthly-medicaid-and-chip-enrollment/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D.
The Kaiser Family Foundation analysis of Centers for Medicare and Medicaid Services, Federal and State Share of Medicaid Spending, accessed September 2019 https://www.kff.org/medicaid/state-indicator/federalstate-share-of-spending/?currentTimeframe=0&sortModel=%7B"colId":"Location","sort":"asc"%7D.
Kaiser Family Foundation estimates based on 2017 National Health Expenditure Accounts data from CMS, Office of the Actuary; The Kaiser Family Foundation, Medicaid in the United States Fact Sheet, October 2019 (accessed October 2019). http://files.kff.org/attachment/fact-sheet-medicaid-state-US.
National Association of State Budget Officers, Summaries of FY 2020 Proposed & Enacted Budgets, (NASBO, September 6, 2019), https://higherlogicdownload.s3.amazonaws.com/NASBO/9d2d2db1-c943-4f1b-b750-0fca152d64c2/UploadedImages/Issue%20Briefs%20/FY20_Summary_of_Proposed_and_Enacted_Budgets.pdf.
The Kaiser Family Foundation State Health Facts. Status of State Action on the Medicaid Expansion Decision (accessed August 2019). https://www.kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D.
National Association of State Budget Officers, The Fiscal Survey of the States, (Washington, DC: NASBO, Spring 2019), https://higherlogicdownload.s3.amazonaws.com/NASBO/9d2d2db1-c943-4f1b-b750-0fca152d64c2/UploadedImages/Fiscal%20Survey/NASBO_Spring_2019_Fiscal_Survey_of_States_-_S.pdf.
National Association of State Budget Officers, The Fiscal Survey of the States, (Washington, DC: NASBO, Spring 2019), https://higherlogicdownload.s3.amazonaws.com/NASBO/9d2d2db1-c943-4f1b-b750-0fca152d64c2/UploadedImages/Fiscal%20Survey/NASBO_Spring_2019_Fiscal_Survey_of_States_-_S.pdf.
National Association of State Budget Officers, Summaries of FY 2020 Budgets, (NASBO, September 6, 2019), https://www.nasbo.org/resources/communityblogs.
National Conference of State Legislatures, FY 2020 State Budget Status, (NCSL, July 26, 2019), http://www.ncsl.org/research/fiscal-policy/fy-2020-state-budget-status.aspx.
Brian Sigritz, Summaries of FY 2020 Budgets, (Washington, DC: NASBO, September 7, 2019) http://budgetblog.nasbo.org/budgetblogs/blogs/brian-sigritz/2019/09/06/summaries-of-fy2020-budgets.
National Association of State Budget Officers, Summaries of Fiscal Year Proposed & Enacted Budgets (Washington, DC: NASBO, September 6, 2019), https://higherlogicdownload.s3.amazonaws.com/NASBO/9d2d2db1-c943-4f1b-b750-0fca152d64c2/UploadedImages/Issue%20Briefs%20/FY20_Summary_of_Proposed_and_Enacted_Budgets.pdf
Bureau of Labor Statistics, Unemployment Rates for States, Seasonally Adjusted, (Washington, DC: U.S. Bureau of Labor Statistics, August 2019), https://www.bls.gov/web/laus/laumstrk.htm.
Bureau of Labor Statistics, Labor Force Statistics from the Current Population Survey: Unemployment Rate, (Washington, DC: U.S: Bureau of Labor Statistics, October 2019), https://data.bls.gov/timeseries/lns14000000.
United States Census Bureau, Health Insurance Coverage in the United States: 2018, (Washington, DC: U.S Census Bureau, September 10, 2019), https://www.census.gov/library/publications/2019/demo/p60-267.html.
Samantha Artiga and Olivia Pham, Recent Medicaid/CHIP Enrollment Declines and Barriers to Maintaining Coverage, (Washington, DC: Kaiser Family Foundation, September 2019), https://www.kff.org/medicaid/issue-brief/recent-medicaid-chip-enrollment-declines-and-barriers-to-maintaining-coverage/.
CMCS Informational Bulletin, Oversight of State Medicaid Claiming and Program Integrity Expectations (June 20, 2019), https://www.medicaid.gov/federal-policy-guidance/downloads/cib062019.pdf.
Samantha Artiga, Rachel Garfield, and Anthony Damico, Estimated Impacts of Final Public Charge Inadmissibility Rule on Immigrants and Medicaid Coverage (Washington, DC: Kaiser Family Foundation, September 2019), https://www.kff.org/disparities-policy/issue-brief/estimated-impacts-of-final-public-charge-inadmissibility-rule-on-immigrants-and-medicaid-coverage/.
National Association of State Budget Officers, The Fiscal Survey of the States, (NASBO, Spring 2019), https://higherlogicdownload.s3.amazonaws.com/NASBO/9d2d2db1-c943-4f1b-b750-0fca152d64c2/UploadedImages/Fiscal%20Survey/NASBO_Spring_2019_Fiscal_Survey_of_States_-_S.pdf.
Appendix
The Kaiser Family Foundation State Health Facts. Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier: FY 2020. Data Source: Federal Register, November 28, 2018 (Vol 83, No. 229), pp 61159. https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/?currentTimeframe=0&sortModel=%7B%22colId%22:%22FMAP%20Percentage%22,%22sort%22:%22desc%22%7D.
Kaiser Family Foundation estimates based on the data reported in: National Association of State Budget Officers, State Expenditure Report – Fiscal Years 2016-2018 (Washington, DC: National Association of State Budget Officers, November 2018), https://higherlogicdownload.s3.amazonaws.com/NASBO/9d2d2db1-c943-4f1b-b750-0fca152d64c2/UploadedImages/SER%20Archive/2018_State_Expenditure_Report_S.pdf.
To be eligible for ARRA funds, states could not restrict eligibility or tighten enrollment procedures in Medicaid or CHIP. Vic Miller, Impact of the Medicaid Fiscal Relief Provisions in the American Recovery and Reinvestment Act (ARRA) (Washington, DC: Kaiser Commission on Medicaid and the Uninsured, October 2011), http://kff.org/medicaid/issue-brief/impact-of-the-medicaid-fiscal-relief-provisions/.
U.S. Department of Health & Human Services, Office of the Assistant Secretary for Planning and Evaluation. U.S. Federal Poverty Guidelines Used to Determine Financial Eligibility for Certain Federal Programs (January 2019), https://aspe.hhs.gov/poverty-guidelines