Five Million Uninsured Would Gain Eligibility if Remaining States Expanded Medicaid in 2017

The Urban Institute estimates that 4.8 million uninsured individuals would become eligible for Medicaid if the 19 states that have not yet expanded Medicaid opted to do so in 2017; an additional 8.6 million insured individuals would also become Medicaid-eligible. More than half of the currently uninsured who would become eligible live in three states: Texas, Florida, and Georgia. The vast majority—more than 80%—are adult nonparents and nearly half are white non-Hispanic. Nationwide,, Medicaid enrollment would increase by 7.8 million to 8.8 million people, assuming an enrollment rate of 70% (“moderate”) to 88% (“high”).

California: CMS Determines Funding Amounts for Uncompensated Care in Medicaid 1115 Waiver

CMS has authorized $472 million per year foryears to cover the cost of care for uninsured individuals as part of “Medi-Cal 2020,” the State's Medicaid 1115 waiver. The funding is part of the waiver's Global Payment Program (GPP) for Public Health Care Systems, which allows the State to make global value-based payments to public hospital systems, that provide high volumes of uncompensated care. CMS had agreed to fund the GPP when the waiver was renewed in December of 2015 and specified a dollar amount for the first year of the waiver. The specific funding levels for the succeeding four years , however, was left to be determined pending issuance of a State report on uncompensated care costs in California that was released in DATE.

Idaho: Joint Legislative Committee Will Consider Options for Medicaid “Gap” Population

The newly-established “Healthcare Alternatives for Citizens Below 100 Percent of Poverty Level” committee reviewed earlier attempts to expand coverage in Idaho during its inaugural meeting. The committee was established on the final day of the previous legislative session as the House voted down a measure to extend coverage to the 78,000 Idahoans estimated to be in the “coverage gap,” those who earn too much to qualify for Medicaid but too little for federal tax subsidies on the Marketplace. Committee co-chairs plan to bring coverage recommendations to the 2017 Legislature, possibly through an alternative Medicaid expansion waiver.

New Mexico: Human Services Department Found in Contempt Over 28-Year-Old Social Service Eligibility Lawsuit

A federal judge found the State Human Services Department in contempt for failing to provide sufficient oversight or coordination of SNAP and Medicaid eligibility and enrollment processes in response to court orders related to a 28-year-old class action lawsuit. The judge required the Department to hire an independent expert, or "special master," to oversee the effort to bring the SNAP and Medicaid eligibility and enrollment system into compliance by January 1, 2018. The original case was based on claims that the State was denying people their right to prompt SNAP and Medicaid eligibility decisions.