Medicaid

Medicaid expansion adults with incomes above 100% of the FPL pay up to $35 (or up to 5% of income) for most services, excluding primary care, behavioral health and services at FQHCs, RHCs, and CCBHCs

Potential Impact — While FQHCs, RHCs, and CCBHCs are exempt, REHs and rural health systems may see reduced visits or an increase in uncompensated care as people face barriers to pay for their care.

Medicaid expansion adults with incomes above 100% of the FPL pay up to $35 (or up to 5% of income) for most services, excluding primary care, behavioral health and services at FQHCs, RHCs, and CCBHCs Read More »

Adults 19 to 64 must work, do community service, or receive education for 80 hours a month to be eligible for Medicaid. States with approved Section 1115 waivers may start earlier. One-time compliance exemptions may also let some states delay until December 31, 2028

Potential Impact — Reduced visits or an increase in uncompensated care as people lose access to coverage.

Adults 19 to 64 must work, do community service, or receive education for 80 hours a month to be eligible for Medicaid. States with approved Section 1115 waivers may start earlier. One-time compliance exemptions may also let some states delay until December 31, 2028 Read More »