Current Status of Medicaid Expansion in State:
State has decided not to expand
20% of South Carolinians are enrolled in Medicaid. All beneficiaries have managed care. The state's Medicaid program covers up to 200% FPL depending on the specific program. The Department of Health and Human Services oversees the state's Medicaid program.
Expansion of the state's Medicaid program to 133% FPL would be a 38% increase of current enrollment.
Governor Nikki Haley has emphatically stated that South Carolina will not implement the exchange or the expansion, but the state legislature will make the final decision in 2013.
- As of late April, 2013, the state had begun to upgrade its Medicaid system to be able to accomodate more enrollees.
· South Carolina is one of the states that sued for repeal of the ACA.
· Though the state DHHS Secretary has said South Carolina will reject the expansion and instead implement other cost-saving ways to address the needs to the state, some Democratic legislators disagree with this strategy.
· South Carolina DHHS has regularly provided updates on their website regarding health care reform. They have also held public meetings to discuss the implications of the ACA for South Carolina.