This week, HHS Secretary Kathleen Sebelius sent a letter to the nation’s Governors in adance of their weekend meeting in Williamsburg, VA providing some important clarity on the implications of the Supreme Court ruling for Medicaid. As we all know, the Supreme Court decided that states cannot face loss of all of their Medicaid funds if they do not provide coverage for adults to 133 percent of the federal poverty line as required under the ACA. As was clear in Justice Roberts’ majority opinion and as Secretary Sebelius confirmed in yesterday’s letter, “the court’s decision did not affect other provisions of the law” governing Medicaid. Some state officials had mistakenly seized on the court ruling as effectively invalidating other parts of the law, including the maintenance-of-effort provision (aka stability protections). But, with the new letter, there no longer is any reason for lingering confusion over this issue. According to a Kaiser Health News report, a White House official confirmed that means states are still barred from reducing eligibility for Medicaid.
- The ACA has the potential to cut the number of uninsured children by 40%. (Source:Improving Coverage for Children Under Health Reform)
- The ACA has helped maintain or improve access to preventive services for 54% of children. (Source: ACA Protects and Improves Access to Preventive Care for Children)
- 47 states have applied for or received increased federal funds to make major upgrades to Medicaid enrollment systems (Source: Getting Into Gear for 2014)
- In 2012, 92.8% of children in the United States had health insurance coverage. (Source: Children's Health Coverage on the Eve of the Affordable Care Act)
- In January 2014, eligibility levels for parents and childless adults will significantly increase in the 26 states, including DC, that are expanding Medicaid to adults. (Source: New! Getting Into Gear for 2014)