Research Report Medicaid Expansion, The Private Option and Personal Responsibility Requirements
The Use of Section 1115 Waivers to Implement Medicaid Expansion under the ACA
Jane B. Wishner, John Holahan, Divvy Upadhyay, Megan McGrath
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Ever since the Supreme Court effectively ruled in June 2012 that states could choose whether or not to expand Medicaid to nonelderly adults under the Affordable Care, that choice has been one of the most prominent and often one of the most contentious issues for states. In this report, we describe the six states (Arkansas, New Hampshire, Indiana, Iowa, Michigan and Pennsylvania) that requested and received approval from the federal government to experiment with coverage approaches that are modelled on private insurance concepts and not permitted in a standard Medicaid expansion.
Research Areas Health and health care
Tags Health insurance Federal health care reform Medicaid and the Children’s Health Insurance Program 
Policy Centers Health Policy Center