In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Medicaid: States’ Most Powerful Tool to Combat the Opioid Crisis
Deborah Bachrach, Patricia Boozang, and Mindy Lipson, Manatt Health
With the United States in the midst of a worsening opioid epidemic, an examination of the resources and tools available to states in combating this crisis is critical. With Medicaid serving as the largest source of coverage for behavioral health services, including those related to substance use disorders (SUDs), the role that it can occupy in addressing the epidemic is clear. An additional 1.2 million individuals with SUDs have gained access to coverage in states that have expanded Medicaid under the ACA. This issue brief, developed by Manatt Health, reviews Medicaid strategies to combat the opioid epidemic. The issue brief underscores the vital nature of Medicaid expansion as part of this effort, with at least 1.1 million adults with SUDs currently residing in non-expansion states. The issue brief is part of a continuing series investigating the fiscal implications of Medicaid expansion.