Millions of Americans Could Lose Medicaid Coverage

Guno צְבִי

We fight, We win, Am Yisrael Chai
Medicaid is the largest federal government program providing medical and health-related services to low-income people across the country and currently serves some 72 million Americans.

Lawmakers in some states have looked at reducing the eligibility for Medicaid, either by letting existing legislation expire or by actively repealing the expansion brought about by the Affordable Care Act (ACA), which could impact the healthcare of millions.

But according to KFF Health News, nine states—Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah and Virginia—have trigger laws that require termination of the expansion if the share of federal funding drops.

While individual states pay for Medicaid, the federal government provides states with an enhanced federal matching rate, known as FMAP, of up to 90 percent for their expansion populations. If federal funding falls below a certain rate in these states with trigger laws, it means the expansion of Medicaid could end, cutting health coverage for potentially millions of Americans.

"While laws in the so-called 'trigger' states require action, the substantial loss of federal funding would likely force all states to reassess whether to continue the expansion coverage," KFF Health News reported in November 2024.

 
Either Guano doesn't know, or he doesn't want you to know that states with "trigger laws" can repeal or amend those laws.

  • Just like any other state law, Medicaid trigger laws can be repealed or amended through the state's legislative process. This involves introducing a bill in the state legislature to either repeal the law entirely or to amend specific provisions. The bill would then need to go through committee hearings, debates, and votes in both the state House and Senate.
  • Legislative Majority: For a bill to pass, it typically requires a majority vote in both chambers of the state legislature. The exact requirements can vary by state, but generally, a simple majority is needed for passage.

Examples of Action:

  • Michigan: Michigan had a Medicaid trigger law that was part of its Medicaid expansion in 2013. This trigger was later eliminated when the state government came under control of Democrats, illustrating how changes in political control can lead to amendments or repeals of such laws.
  • Illinois: Illinois had a trigger law related to abortion from 1975, which was repealed in 2017 with the passage of HB40, showing that states can repeal trigger laws when there is sufficient legislative will.


@Grok
 
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