Status of State Action on the Medicaid Expansion Decision, as of...

http://kff.org/health-reform/state-indicator/state-activity-aroun...

change indicator (http://kff.org/state-category/health-reform/medicaid-and-health-reform-health-reform/)

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Notes

View Table in New Window Current Status of Medicaid Expansion Decision 26MovingForward atthisTime;25Not MovingForwardat thisTime NotMovingForward atthisTime NotMovingForward atthisTime MovingForwardat thisTime MovingForwardat thisTime MovingForwardat thisTime MovingForwardat thisTime 2013 Legislative Session Status 43Outof Session;8In SessionYear Round OutofSession OutofSession OutofSession Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw.

Location

Governor's Position 30Supports;16 Opposes;5 WeighingOp ons Opposes Opposes Supports

Key Legislative Activity

UnitedStates

Alabama Alaska Arizona

Arkansas1

Supports

OutofSession

California

Supports

OutofSession

Colorado

Supports

OutofSession

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Status of State Action on the Medicaid Expansion Decision, as of...

http://kff.org/health-reform/state-indicator/state-activity-aroun...

Location Connec cut Delaware Districtof Columbia

Current Status of Medicaid Expansion Decision MovingForwardat thisTime MovingForwardat thisTime MovingForwardat thisTime NotMovingForward atthisTime NotMovingForward atthisTime MovingForwardat thisTime NotMovingForward atthisTime MovingForwardat thisTime NotMovingForward atthisTime2 MovingForwardat thisTime NotMovingForward atthisTime MovingForwardat thisTime NotMovingForward atthisTime NotMovingForward atthisTime MovingForwardat thisTime MovingForwardat thisTime MovingForwardat thisTime MovingForwardat thisTime NotMovingForward atthisTime

Governor's Position Supports Supports Supports

2013 Legislative Session Status OutofSession OutofSession Meets throughoutthe year OutofSession

Key Legislative Activity Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw.

Florida

Supports

Legisla vesessionended withnolegisla on authorizingtheMedicaid expansion.

Georgia Hawaii Idaho Illinois

Opposes Supports Opposes Supports

OutofSession OutofSession OutofSession OutofSession Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw.

Indiana Iowa1

Opposes

OutofSession Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw.

Supports WeighingOp ons Supports Opposes

OutofSession OutofSession OutofSession OutofSession

Kansas Kentucky Louisiana

Maine

WeighingOp ons

OutofSession

Legisla onauthorizing theMedicaidexpansion hasbeenvetoedbythe Governor. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw.

Maryland

Supports

OutofSession Meets throughoutthe year Meets throughoutthe year OutofSession OutofSession

Massachuse s

Supports

Michigan1

Supports

Minnesota Mississippi

Supports Opposes

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Status of State Action on the Medicaid Expansion Decision, as of...

http://kff.org/health-reform/state-indicator/state-activity-aroun...

Location

Current Status of Medicaid Expansion Decision NotMovingForward atthisTime NotMovingForward atthisTime NotMovingForward atthisTime MovingForwardat thisTime NotMovingForward atthisTime

Governor's Position

2013 Legislative Session Status

Key Legislative Activity Acommi eetofurther studytheMedicaid expansionhasbeen established.

Missouri

Supports

OutofSession

Montana Nebraska Nevada New Hampshire

Supports Opposes Supports

OutofSession OutofSession OutofSession Acommi eetofurther studytheMedicaid expansionhasbeen established. Legisla onauthorizing theMedicaidexpansion hasbeensignedinto law.3 Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw. PassedLegisla on prohibi ng implementa onofthe Medicaidexpansion withoutlegisla ve approval Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw.

Supports

OutofSession

NewJersey

MovingForwardat thisTime

Supports

Meets throughoutthe year

NewMexico

MovingForwardat thisTime MovingForwardat thisTime

Supports

OutofSession Meets throughoutthe year

NewYork

Supports

NorthCarolina

NotMovingForward atthisTime

Opposes

OutofSession

NorthDakota

MovingForwardat thisTime MovingForwardat thisTime NotMovingForward atthisTime MovingForwardat thisTime NotMovingForward atthisTime MovingForwardat thisTime NotMovingForward atthisTime NotMovingForward atthisTime NotMovingForward atthisTime

Supports

OutofSession Meets throughoutthe year OutofSession OutofSession Meets throughoutthe year OutofSession OutofSession

Ohio Oklahoma Oregon Pennsylvania1

Supports Opposes Supports WeighingOp ons

RhodeIsland SouthCarolina

Supports Opposes

Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw.

SouthDakota

Opposes

OutofSession

Acommi eetofurther studytheMedicaid expansionhasbeen established.

Tennessee1

WeighingOp ons

OutofSession

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Status of State Action on the Medicaid Expansion Decision, as of...

http://kff.org/health-reform/state-indicator/state-activity-aroun...

Location

Current Status of Medicaid Expansion Decision

Governor's Position

2013 Legislative Session Status

Key Legislative Activity PassedLegisla on prohibi ng implementa onofthe Medicaidexpansion withoutlegisla ve approval PassedLegisla on prohibi ng implementa onofthe Medicaidexpansion withoutlegisla ve approval

Texas

NotMovingForward atthisTime

Opposes

OutofSession

Utah

NotMovingForward atthisTime

WeighingOp ons

OutofSession

Vermont

MovingForwardat thisTime NotMovingForward atthisTime MovingForwardat thisTime MovingForwardat thisTime NotMovingForward atthisTime

Supports

OutofSession Acommi eetofurther studytheMedicaid expansionhasbeen established. Legisla onauthorizing theMedicaidexpansion hasbeensignedintolaw.

Virginia

Opposes

OutofSession

Washington WestVirginia Wisconsin

Supports Supports Opposes

OutofSession OutofSession Meets throughoutthe year

Wyoming

NotMovingForward atthisTime

Opposes

OutofSession

PassedLegisla on prohibi ng implementa onofthe Medicaidexpansion withoutlegisla ve approval

() Notes To view and download a map of these data, please visit: http://kff.org/health-reform/slide/current-statusof-the-medicaid-expansion-decision/ (http://kff.org/health-reform/slide/current-status-of-the-medicaidexpansion-decision/).

A central goal of the Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and new Health Insurance Exchanges. The ACA expands Medicaid coverage for most low-income adults to 138% of the federal poverty level (FPL) ($15,856 for an individual or $26,951 for a family of three in 2013). Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. For additional information on the cost and coverage implications of the Medicaid expansion, see the following KCMU resources: The Cost of Not Expanding Medicaid (http://kff.org/medicaid/report/the-cost-of-notexpanding-medicaid/) (July 2013) and Analyzing the Impact of State Medicaid Expansion Decisions (http://kff.org/medicaid/issue-brief/analyzing-the-impact-of-state-medicaid-expansion-decisions/) (July 2013).

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Status of State Action on the Medicaid Expansion Decision, as of...

http://kff.org/health-reform/state-indicator/state-activity-aroun...

Data reported here are as of November 22, 2013. It is important to note that per CMS guidance, there is no deadline for states to implement the Medicaid expansion.
Sources Executive Activity - Based on KCMU analysis of State of the State Addresses, budgets proposed by

Governors, as well as other recent public statements made by the Governor. Legislative Session - Information from the National Conference of State Legislatures and review of state legislative websites. Current Status of Medicaid Expansion Decisions - States decisions about the Medicaid expansion as of October 22, 2013. Based on data from the Centers for Medicare and Medicaid Services, available at: http://medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Medicaid-and-CHIP-EligibilityLevels/medicaid-chip-eligibility-levels.html (http://medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward2014/Medicaid-and-CHIP-Eligibility-Levels/medicaid-chip-eligibility-levels.html). Data have been updated to reflect more recent activity.
Definitions Executive activity was categorized as Opposing, Supporting, or Weighing Options for the Medicaid

expansion based on statements made by Governors in budget documents, State of the State Addresses, or other recent public statements. Weighing Options includes states where no official statement, either supporting or opposing the Medicaid expansion, has been made, if the budget did not include a decision on the Medicaid expansion, the Governor has indicated he/she is leaving the decision to the legislature, or the Governor has indicated he/she is awaiting additional guidance or analysis. Key Legislative Activity - This column records key legislative activity, such as legislation being passed by one body of the legislature. It is not intended to be a comprehensive list of all legislative activity occurring at the state level. Requirements for legislation to implement the Medicaid expansion vary across states; some states will require authorizing language and/or budgetary authority to implement the expansion while others may not.

1. Exploring an approach to Medicaid expansion likely to require waiver approval. 2. On September 3, 2013, Indiana received a one-year extension for its existing 1115 waiver program, the Healthy Indiana Plan (HIP). 3. Governor Christie signed into law budget legislation (S3000) which included authorization of the Medicaid expansion. The Governor separately vetoed a stand-alone bill that authorized the expansion (S2644).

new & updated i di t

Updated | November 14, 2013

State Marketplace Statistics

(http://kff.org/health-reform/state-indicator/statemarketplace-statistics-2/)

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Status of State Action on the Medicaid Expansion Decision, as of...

http://kff.org/health-reform/state-indicator/state-activity-aroun...

Updated | October 02, 2013

Status of State Action on the Medicaid Expansion Decision, as of November 22, 2013
(http://kff.org/health-reform/state-indicator/stateactivity-around-expanding-medicaid-underthe-affordable-care-act/)

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