5 Mid-Year Medicaid Expansion Updates

Of the 12 states that haven’t expanded their Medicaid packages, 4 have taken authorized, legislative, and/or budgetary actions this yr with various outcomes.

The Kaiser Household Basis (KFF) has up to date its state Medicaid enlargement tracker, highlighting 2022 exercise by means of July. The next summarizes exercise in each enlargement and non-expansion states.

  • In January 2022, Georgia sued CMS and HHS for withdrawing its December 2021 1115 waiver approval, which had included Medicaid work and premium necessities. Whereas Georgia had expanded Medicaid protection in earlier years, it was not a full enlargement and was contingent upon the now-disapproved necessities.
  • From January-February, Kansas’s Democratic governor took two actions: together with Medicaid enlargement in her 2023 state funds and proposing enlargement laws with a piece referral element. Neither had been included or acted upon, nevertheless, by the state’s Republican-controlled legislature earlier than it adjourned.
  • Each of North Carolina’s legislative our bodies handed payments—the Senate for Medicaid enlargement tied to work necessities and the Home to ascertain a committee to check enlargement. The 2022 session adjourned, nevertheless, with no additional development.
  • Medicaid enlargement underneath constitutional modification will likely be on South Dakota’s poll in November 2022. If accepted, enlargement would start July 2023 and wouldn’t embrace added restrictions for the newly eligible.
  • Among the many 39 packages which have already expanded Medicaid (38 states plus the District of Columbia), one state— Missouri— sought so as to add work necessities and make enlargement topic to annual funding. The invoice handed by the state Home, nevertheless, didn’t advance throughout the session.

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