Allowing Partial Medicaid Expansion Would Increase Federal Costs


By James C. Capretta
American Enterprise Institute, Jan. 15, 2019

For several months, the Trump administration has been engaged in an internal debate over the merits of allowing states that have not expanded Medicaid to non-disabled childless adults to do a partial Medicaid expansion. But state requests to “waive” federal law and operate under waiver-specific rules are supposed to be granted only if the waivers will not increase costs for the federal government—the so-called “budget neutrality” test. It is very unlikely that allowing states to adopt partial Medicaid expansions would be less expensive for the federal government than current law and policy. Click here to read more.