A Court Ruling Striking Down the ACA Would Eliminate the Medicaid Expansion

From KFF: For Entire Post, Go Here…

Millions of low-income Americans currently covered by Medicaid likely would become uninsured if the Supreme Court were to strike down the Affordable Care Act (ACA) in California v. Texas, a legal challenge the high court is scheduled to hear in early November, KFF experts explain in a new Policy Watch post.

Overturning the ACA would eliminate the expansion of Medicaid, which largely has been financed by the federal government, and eliminate eligibility for Medicaid for low-income adults without dependent children. Fifteen million people were enrolled in the ACA Medicaid expansion group as of last year, including 12 million who were made newly eligible under the health law (the remainder were adults covered with waivers prior to the ACA and then moved to the ACA expansion group).

If the ACA were overturned, these individuals would lose their federal entitlement to coverage and states would no longer be able to claim 90 percent federal matching dollars for their Medicaid costs. It is most likely that states would not continue to finance coverage for these individuals, and given limited other options for affordable coverage absent the ACA, most would likely become uninsured.

Eliminating the Medicaid expansion would also have implications for state budgets and economies, as well as provider capacity and the financial health of hospitals and other health care providers.

Leave a Reply