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.
For more information on how the Supreme Court’s decision on the Affordable Care Act affects states, contact firstname.lastname@example.org.
About HMSHMS is the nation's leader in coordination of benefits and program integrity services for healthcare payers. HMS's clients include health and human services programs in more than 40 states; commercial programs, including commercial plans, employers, and over 120 Medicaid managed care plans; the Centers for Medicare and Medicaid Services (CMS); and Veterans Administration facilities. As a result of the company's services, clients recovered over $2 billion in 2011, and saved nearly $7 billion through the prevention of erroneous payments.
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