Medicaid Expansion Under the ACA: How States Analyze the Fiscal and Economic Trade-Offs

Research Report

Medicaid Expansion Under the ACA: How States Analyze the Fiscal and Economic Trade-Offs

Abstract

In 2014, many states will expand Medicaid to cover their poor and near-poor residents, but others will not. As the final undecided states make up their minds, a new report shows that in 10 diverse states, very different approaches were taken to analyzing impacts. Those states that conducted comprehensive analyses found that Medicaid expansion will: (a) provide state savings and revenues that exceed increased costs, yielding net state budget gains and (b) result in increased employment because of the influx of federal dollars.

Centers

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