On the con side, Medicaid expansion would be funded completely by the federal government only through 2016. In 2017, federal funding for new Medicaid members would fall to 95%, phasing down to 90% in 2020 and beyond. Opponents note that states — already under pressure from a weak economy — would be required to step up spending as the feds step back.Finally, expanding Medicaid is not a one-time decision for states. In theory, states could expand and receive the extra federal funding until 2016, and then contract if this funding changes. Service roll-backs may prove difficult.
HMS Provides Comments On What The Supreme Court Decision On The Affordable Care Act Means For States
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