Full Citation

Title: Medicaid Expansion in Alabama: Revisiting the Economic Case for Expansion

Citation Type: Miscellaneous

Publication Year: 2019

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Abstract: Over six years have now passed since the Supreme Court’s landmark decision which upheld the core provisions of the Affordable Care Act (ACA) but left the decision on Medicaid expansion to the states. Despite the generous Federal match rate structure (full federal funding for 3 years, gradually declining to 90% in 2020 and beyond) Alabama was one of 26 states which elected not to participate in Medicaid expansion prior to its inception in January 2014. Since that time, 9 additional states have expanded their programs. Louisiana Democratic Governor John Bel Edwards ran heavily on the issue -- and won -- expanding Medicaid by executive order on his second day of office in 2016. The Republican controlled Virginia legislature voted to expand Medicaid in April 2018, joining a growing list of states that expanded their programs with Republican support. The 2018 midterm elections provided further evidence of broad public support for Medicaid expansion, as voters in three reliably conservative states - - Idaho, Utah and Nebraska – approved ballot measures supporting expansion. Alabama is now one of just 14 states that have taken no action on Medicaid expansion under the ACA1 . In November 2012 -- over a full year prior to the implementation of expansion – my . . .

Url: https://www.alaha.org/wp-content/uploads/2019/02/MedicaidExpansionUpdateJan31.pdf

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Authors: Becker, David J

Publisher: University of Alabama at Birmingham

Data Collections: IPUMS USA

Topics: Health, Other, Population Health and Health Systems

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