Health Reform's Medicaid Expansion

Over the coming months, most states will be considering whether to expand Medicaid. State advocates can play a critical role in these discussions by making the case that the expansion is a good deal for states.
This web page brings together resources to help advocates analyze projections of the fiscal impact of the Medicaid expansion for their states, as well as additional materials to help make the case for expanding Medicaid. We hope these materials are useful in your work with other groups, coalition partners, state officials, and the media,

Click on the state abbreviation (above) to jump to its fact sheets.
Resources from the Center
- Guidance on Analyzing and Estimating the Cost of Expanding Medicaid
- Status of the ACA Medicaid Expansion in States
- Expanding Coverage for Parents Helps Children (with Georgetown Center for Children and Families)
- How Health Reform’s Medicaid Expansion Will Impact State Budgets
- Why a State's Health Insurers Should Support Expanding Medicaid
- Key points on the impact on insurers
- Summary of the American Academy of Actuaries' brief on the impact on private premiums
- Medicaid Expansion in Health Reform Not Likely to “Crowd Out” Private Insurance
Fact Sheets on How the Medicaid Expansion Will Affect Certain Populations
- Expanding Medicaid Will Benefit Both Low-Income Women and Their Babies
- If Low-Income Adults Are To Gain Health Coverage, States Must Expand Medicaid
- Half of Uninsured Veterans Would Gain Health Coverage Through Medicaid
- Medicaid Will Improve Outcomes, Lower Costs for People with HIV
- Medicaid Expansion Could Cut Native Americans’ Uninsurance Rate by Half
- Expanding Medicaid Will Benefit Both Low-Income Women and Their Babies
Communications Resources
The Center has put together talking points and memos that will assist in effectively communicating to the press and other interested parties the implications of the Medicaid expansion.
For these materials and other communications assistance, contact Shannon Spillane at spillane@cbpp.org.
Related Blog Posts
- Idaho Shows Why Medicaid Expansion Is a Good Deal for States
- Want to Cover More Children? Adopt Health Reform’s Medicaid Expansion
- Arkansas Shows Why Medicaid Expansion Is a Good Deal for States
- Supreme Court Ruling Doesn’t Let Maine (or Other States) Cut Thousands from Medicaid
- CBO Reaffirms That Health Reform Will Reduce the Deficit
- Coming Cuts to Safety Net Hospitals Reinforce Importance of Medicaid Expansion
Resources from State Advocates
- Medicaid Expansion: A Good Deal for Indian Country, from the Montana Budget and Policy Center
- Strengthening Medicaid is a Good Deal for Arkansas, a toolkit from Arkansas Advocates for Children and Families
- How Medicaid Works: A Chartbook for Understanding Virginia’s Medicaid Insurance and the Opportunity to Improve It, from the Commonwealth Institute of Virginia and the Virginia Poverty Law Center
- The Medicaid Expansion: A Transformative and Fiscally Sustainable Policy for North Carolina, from the North Carolina Justice Center
- Medicaid Expansion: An Opportunity to Invest in Louisiana’s Workforce, from the Louisiana Budget Project
- The Medicaid Expansion is Good Medicine For Missouri, from Legal Services of Eastern Missouri
Other Resources on the Supreme Court Decision and the Medicaid Expansion
- December 10, 2012 Frequently Asked Questions on Exchanges, Market Reforms and Medicaid
- The Urban Institute’s November 2012 Cost and Coverage Implications of the ACA Medicaid Expansion
- Kaiser Commission on Medicaid and the Uninsured’s Faces of the Medicaid Expansion: Experiences of Uninsured Adults who Could Gain Coverage
- The National Women’s Law Center on What the Medicaid Eligibility Expansion Means for Women
- Kaiser Family Foundation’s Guide to the Supreme Court’s Affordable Care Act Decision
- National Health Law Program’s (NHeLP) Summary of the Supreme Court’s Decision on the ACA
- Congressional Research Service’s Memo on Selected Issues Related to the Effect of NFIN v. Sebelius on the Medicaid Expansion Requirements in Section 2001 of the Affordable Care Act
- July 10, 2012 letter from Secretary Sebelius to Governors clarifying that the Supreme Court’s ruling on the Medicaid expansion does not affect other aspects of the Affordable Care Act
- Updated estimates (July 2012) of the Affordable Care Act’s Coverage Provisions from the Congressional Budget Office Report




