Explaining Health Reform: Benefits and Cost-Sharing for Adult Medicaid Beneficiaries

August 9, 2010


Authors: Jocelyn Guyer and Julia Paradise

Published by: Center for Children and Families and the Kaiser Commission on Medicaid and the Uninsured


Under health reform, Medicaid eligibility will be expanded to reach nearly everyone under age 65 with income below 133 percent of the federal poverty level. As a result, millions of uninsured adults, including many with very low income and significant health needs, will become eligible for the program. This brief provides details of the benefit and cost-sharing rules that will govern the coverage available to these newly eligible adult Medicaid beneficiaries, and it identifies key considerations for state policymakers making Medicaid benefit design choices.

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