5 Mid-Year Medicaid Expansion Updates


Of the 12 states that have not expanded their Medicaid programs, four have taken legal, legislative, and/or budgetary actions this year with varying results.

The Kaiser Family Foundation (KFF) has updated its state Medicaid expansion tracker, highlighting 2022 activity through July. The following summarizes activity in both expansion and non-expansion states.

  • In January 2022, Georgia sued CMS and HHS for withdrawing its December 2021 1115 waiver approval, which had included Medicaid work and premium requirements. While Georgia had expanded Medicaid coverage in previous years, it was not a full expansion and was contingent upon the now-disapproved requirements.
  • From January-February, Kansas’s Democratic governor took two actions: including Medicaid expansion in her 2023 state budget and proposing expansion legislation with a work referral component. Neither were included or acted upon, however, by the state’s Republican-controlled legislature before it adjourned.
  • Both of North Carolina’s legislative bodies passed bills—the Senate for Medicaid expansion tied to work requirements and the House to establish a committee to study expansion. The 2022 session adjourned, however, with no further advancement.
  • Medicaid expansion under constitutional amendment will be on South Dakota’s ballot in November 2022. If approved, expansion would begin July 2023 and would not include added restrictions for the newly eligible.
  • Among the 39 programs that have already expanded Medicaid (38 states plus the District of Columbia), one state— Missouri— sought to add work requirements and make expansion subject to annual funding. The bill passed by the state House, however, did not advance during the session.

For More Information: https://www.healthleadersmedia.com/payer/5-mid-year-medicaid-expansion-updates

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