Medicaid 360: State-By-State Medicaid Report
Despite repeated promises and numerous attempts,Republicans’ best efforts to repeal and replace theAffordable Care Act (ACA) failed in 2017. The ACA’s futureremains uncertain, and as such, the future of Medicaidfunding is just as unclear. However, the inclusion ofMedicaid reform in both the American Health Care Act(AHCA) and in the Better Care Reconciliation Act (BCRA)indicates a legitimate desire to rework the program,although finding agreement on reform is difficult. Giventhe GOP control in Washington, and the potential savingsinvolved in federal spending, Medicaid reform will continueto be a legislative focus in the near term.
Data and Sources
This Medicaid360 Report, published annually, provides a state-by-state look at this year’s budget allocations,Medicaid expenditures for FY 2015, and key Medicaid developments. Every effort has been made to capturecurrent information for each state. However, in some cases, state information was unclear, inaccessible, orunavailable at the time of publication due to various state budgetary practices.
State Budgets and Medicaid Expenditure Data
Each year, states set aside budgetary money to fund their Medicaid programs. This year’s Medicaid360 Reportprovides this budgetary information, broken down by state, federal, and total funds—pending availability of thatdata. This report features the most recent comprehensive Medicaid expenditure data as released by the Centers forMedicare & Medicaid Services (CMS) in April 2017. The Medicaid expenditures section of this report focuses onpayment for what Medicaid programs call “long-term services and supports (LTSS),” which include home health,nursing, and rehabilitative services.
Healthcare Reform and Key Highlights
This report also captures the most recent (January 2017) data compiled by the Kaiser Family Foundation onwhether state decisions have been made on two key healthcare reform provisions: (1) Medicaid expansion and (2)type of marketplace. In addition to the healthcare reform information, this report includes the latest newshighlights from each state regarding their Medicaid program.