Fierce Healthcare August 23, 2024
Noah Tong

Just 10 states have refused to expand Medicaid under the Affordable Care Act—and that trend is likely to continue—though a second Trump term could change a few states’ hearts, analysts with strategy firm Capstone said in a new report.

That’s because several states are willing to expand Medicaid if there are work requirements tied to the policy, provisions that are opposed by the Biden administration but championed by Republicans.

Work requirement proposals usually require Medicaid beneficiaries to prove they are working to obtain coverage. The remaining 10 states are overwhelmingly run by Republican governors and state legislatures.

By 2027, Capstone puts Kansas and Mississippi at a 50% likelihood of expanding Medicaid. Both states seem willing to compromise on...

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