Research Report The Effects of the Medicaid Expansion on State Budgets
An Early Look in Select States
Stan Dorn, Norton Francis, Laura Snyder, Robin Rudowitz

This study analyzes the state budgetary effects of Medicaid expansion in Connecticut, New Mexico, and Washington State. Researchers interviewed state budget staff and officials and reviewed state budget documents. Early evidence shows state savings, within and outside Medicaid, and revenue gains alongside limited costs resulting from expansion. Researchers also analyze findings from Kentucky, another expansion state, noting that the two states able to compare overall costs and savings (Kentucky and Washington) both found that expansion yielded net state budget gains. This includes projections for future years when states pay 10 percent of Medicaid expansion costs.

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Research and Evidence Health Policy Work, Education, and Labor Family and Financial Well-Being Tax and Income Supports Upward Mobility
Expertise Community and Economic Development Upward Mobility and Inequality Thriving Cities and Neighborhoods Taxes and the Economy Labor Markets Health Care Coverage, Access, and Affordability Federal and State Health Care Reform Medicare and Medicaid
Tags Fiscal policy Health insurance Federal health care reform Medicaid and the Children’s Health Insurance Program  State health care reform Hospitals and physicians State Children's Health Insurance Program Health care systems and managed care plans Public health Unemployment and unemployment insurance State and local tax issues