The Supreme Court’s decision to uphold the ACA settled a few issues but the ability of states to opt out of the Medicaid expansion has raised a few more.
U.S. hospitals want to know what’s going on with Medicaid.
The American Hospital Association has asked Kathleen Sebelius, secretary of the Department of Health and Human Services, for clarification on Medicaid expansion. Expansion of state Medicaid programs, which cover low-income and disabled residents, is a provision of health care reform. But the U.S. Supreme Court on June 28 ruled that states aren’t required to change their Medicaid programs.
Through a combination of Medicaid and a series of state health exchanges, the Affordable Care Act is designed to provide coverage for an additional 32 million Americans but how is it going to work. Can states limit Medicaid expansion to certain populations like children or is the choice to participate in the expansion all or none.
For hospitals to be successful, or even operational, they must plan but planning with this much uncertainty is nearly impossible. I’m worried that the target is still moving…