Brief The Implications of Medicaid Expansion in the Remaining States: 2018 Update
Matthew Buettgens
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Under the Affordable Care Act (ACA), states can expand Medicaid eligibility for nonelderly people up to 138 percent of the federal poverty level (FPL). As of March 2018, 31 states and the District of Columbia had expanded and 19 states had not. If the remaining 19 states were to fully implement a Medicaid expansion in 2019 and all else stayed the same, we estimate that between 4.3 and 4.7 million fewer people would be uninsured, Federal spending on health care would increase by between $32.1 billion and $37.8 billion, while state spending on Medicaid would increase by between $2.3 billion and $3.0 billion. This additional state spending would fully or largely be offset by savings in other areas.
Research Areas Health and health care
Tags Medicaid and the Children’s Health Insurance Program  State health care reform Health insurance
Policy Centers Health Policy Center