More governors embrace Medicaid expansion, but with changes

February 05, 2015

Indiana's Medicaid expansion plan, approved last week by the federal government, creates different tiers of coverage for lower-income residents. The Indiana plan also includes copays for emergency rooms, and requires participants to contribute to a hybrid health savings account or face mandatory copays or loss of coverage. Many of these elements are unprecedented for traditional Medicaid coverage, but have increasingly become part of negotiations between the federal government and Republican-led states, such as Indiana, that are seeking to both expand and change Medicaid. As other states debate whether to expand Medicaid, Indiana's blueprint could result in bolder, more drastic changes to the program. But some advocates worry that the agreement with Indiana threatens the balance between expanding access to insurance while conserving core principles of Medicaid.
Related News:
Red states move to expand Medicaid under Obamacare - NPR
Tennessee legislature rejects Medicaid expansion - Modern Healthcare