National Partnership for Women & Families

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Medicaid Enrollment Surges Overall, Lags in States Rebuffing ACA

Medicaid Enrollment Surges Overall, Lags in States Rebuffing ACA

June 5, 2014 — The Obama administration on Wednesday announced that six million individuals have signed up for Medicaid or the Children's Health Insurance Program since Oct. 1, according to an HHS blog post, Politico reports (Cheney, Politico, 6/4). The blog post added that 1.1 million of those individuals enrolled in Medicaid and CHIP in April (Morgan, Reuters, 6/4).

However, enrollment lagged in states that have not expanded their Medicaid programs under the ACA (Politico, 6/4). Specifically, enrollment increased by 15.3% in states that expanded Medicaid, compared with 3.3% in states that have not (Viebeck, The Hill, 6/4). Nevada, Oregon and West Virginia led expansion states in Medicaid enrollment, with increases of more than 40% (Politico, 6/4).

According to The Hill, the Obama administration is urging states that have yet to expand their Medicaid programs to do so and has noted that the federal government will pick up most of the cost for newly eligible individuals.

CMS Deputy Administrator Cindy Mann in the blog post wrote, "Coverage for newly eligible adult beneficiaries is fully paid for during the first three years by the federal government, and is never less than 90% for the years following" (The Hill, 6/4).