Repeal of the ACA Medicaid Expansion: Critical Questions for States

Jocelyn Guyer, Deborah Bachrach, Patricia Boozang, and Cindy Mann, Manatt Health

Updated as of December 22, 2016

As we approach the beginning of a new presidential administration, there has been continued debate regarding the future of the Affordable Care Act (ACA), much of which has focused on the marketplaces, the mandate, and health insurance reforms such as the ban on insurers’ blocking coverage to those with pre-existing conditions. A potential elimination of the law’s Medicaid expansion to low-income adults and other ACA Medicaid provisions, however, would have far-reaching implications for states and the Medicaid program. This issue brief, developed by Manatt Health, provides a series of questions and answers on the potential repeal of the Medicaid expansion, reviewing available information, and highlighting critical questions that states will want to consider as Congress and the incoming Administration continue to debate when and how to repeal the ACA.

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