Alaska: Medicaid Expansion is a Top Priority of Governor-Elect

Governor-elect Walker (I), whose electoral victory was confirmed on November 15, is expected to put Medicaid expansion at the top of his agenda when he enters office in January, as reported by Modern Healthcare. While Governor-elect Walker has said he would immediately begin efforts to expand Medicaid upon taking office, it is unclear whether the GOP-controlled State Legislature will provide the approval needed to accept the federal funding, as well as to use state funds to invest in necessary infrastructure and workforce.

Arizona: Medicaid Agency Proposes Premiums and Cost-Sharing for Expansion Population

Arizona’s Medicaid Agency proposed to amend the State’s 1115 demonstration waiver to require Medicaid expansion beneficiaries between 100% and 133% of the Federal Poverty Level to pay premiums of no more than 2% of their household income and $200 co-pays for non-emergency use of the emergency room (ER). As noted in the proposal, the State is interested in imposing these requirements to include a measure of personal responsibility and to redirect non-emergency ER visitors to more appropriate and less costly community-based sites. Public comments are due December 18, 2014.

Iowa: Medicaid Expansion Saves State $30 Million

According to the Des Moines Register, the Iowa Hospital Association released the results of a survey of Iowan hospitals, which found a 46% decline in uninsured hospital patients between January and June of 2014. The report found that the drop in uninsured patients led to a 18.5%, or $32.5 million, decline in charity care costs.

Kansas: Kansas Hospitals Push for Medicaid Expansion

The Kansas Hospital Association released a report this week estimating that broadening Medicaid eligibility would provide coverage for 100,000 low-income adults in 2016 and an additional 144,000 in 2017. The report also finds that expanding Medicaid could allow the state to claim more than $330 million annually in federal aid and create nearly 4,000 jobs by 2020.

New Hampshire: New Hampshire Submits Premium Assistance Waiver for Medicaid Expansion

The State of New Hampshire submitted a waiver to CMS requesting permission to purchase Qualified Health Plans on the Federally Facilitated Marketplace for the Medicaid expansion population beginning in 2016. The premium assistance program, if approved, would replace an interim expansion program launched earlier this year that leveraged the State’s managed care program.

Pennsylvania: Governor Continues Healthy PA “Private” Expansion Despite Governor-Elect’s Plans for Traditional Expansion

Outgoing Governor Corbett (R) announced plans to continue his Healthy PA expansion – which would use Medicaid dollars to subsidize private insurance coverage – despite campaign commitments of Governor-Elect Wolf (D) to change course and move forward with a traditional Medicaid expansion. Mr. Wolf will be sworn into office on January 20 and has tapped former public welfare secretary Estelle Richman to serve on the transition team as its Medicaid adviser.