Support for states
The enhanced Medicaid funding is one of several ways the federal government has poured money into state coffers during the pandemic
. Lawmakers also provided a total of
$ 500 billion in aid to state and local governments in two other relief packages
, though their economies did not crater as initially feared
사실로, many states are flush with funds
— thanks in large part to a wide array of federal pandemic support efforts and higher-than-anticipated tax revenues
— 그리고 cutting taxes
The augmented Medicaid match was designed to quickly provide broad fiscal relief for states, said Robin Rudowitz, director of Kaiser’s Program on Medicaid and the Uninsured and co-author of the analysis. The federal government also temporarily increased the match rate as part of the American Recovery and Reinvestment Act of 2009 to help states contend with the economic fallout from the Great Recession.
Fewer enrollees after emergency ends
Kaiser projects that Medicaid enrollment will have grown by
22.2 million people between fiscal year
2019 and the end of fiscal year
But it is expected to plummet once the public health emergency ends and states are once again allowed to review eligibility for coverage — which could start as soon as August 1 if the declaration is not renewed.
중에서 5.3 million and
14.2 million people could be dropped during fiscal year
2023, with the largest losses occurring among low-income adults who qualify under Medicaid expansion
, certain other adults and 어린이
, Kaiser estimates
. The figure is
,” it notes
A separate Urban Institute analysis found that enrollment could decline by
14.4 million if the public health emergency expires after the second quarter of
Enrollees could lose coverage because they no longer meet income or other criteria or because of administrative barriers, such as failing to receive or properly fill out the renewal paperwork.
States will be largely responsible for reaching out to their residents to determine if they remain eligible and, if not, to help them shift to other policies, such as on the Affordable Care Act exchanges. They have 14 months to complete the eligibility checks.
“How states implement the unwinding of the continuous enrollment requirement will make a really big difference in how many people are able to retain coverage,” Rudowitz said.