What is Giving Compass?
We connect donors to learning resources and ways to support community-led solutions. Learn more about us.
Giving Compass' Take:
• Research from the Robert Wood Johnson Foundation and Urban Institute reveals the cost of not expanding Medicaid.
• How can funders help to minimize the costs and maximize access to medical care?
• Learn about funding the push to expand Medicaid.
Nineteen states have not expanded Medicaid eligibility under the Patient Protection and Affordable Care Act (ACA). We estimate that from 2018 through 2027, expansion in these states would increase nominal state costs and federal spending by $59.9 billion and $427.5 billion, respectively, if enrollment is moderate and by $62.9 billion and $487.0 billion if enrollment is high. Each state dollar would thus draw down between $7.14 and $7.75 in net federal funding.
With expansion, most adults with incomes between 100 and 138 percent of FPL would no longer qualify for premium tax credits and cost-sharing reductions in health insurance marketplaces. How much of these federal subsidies would states lose if they expanded Medicaid?