Medicaid's Future Tied to Court Decision on Health-Care Reform

Washington Post (06/20/12) Galewitz, Phil
The future of Medicaid rests on the U.S. Supreme Court's decision in the legal challenge to the 2010 health-care reform law. If completely struck down, states will be able to tighten eligibility and make it more difficult to apply. If the expansion of Medicaid under the health-care law is all that is declared unconstitutional, the entire Medicaid program would be threatened. If upheld, the reform law will expand Medicaid, adding 17 million people beginning in 2014 with the federal government paying the full cost for these newly eligible through 2016, and having states assume costs up to 10 percent by 2019. Under the reform law, eligibility will be made simpler, as any American with household income below 133 percent of the federal poverty level will qualify.

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