Summary:
Current Status of Medicaid Expansion in State:
State will expand Medicaid.
Decision Process:
Regular legislative process
Background:
· Currently:
12% of New Jersey residents are enrolled in Medicaid. 77% of beneficiaries have managed care. The state's Medicaid currently covers up to 350% FPL depending on the specific program. The Department of Human Services oversees the New Jersey Medicaid Management Information System.
· Expansion:
Expansion of Medicaid to 133% FPL would be a 38% increase in enrollment.
· Process:
No final decision has been made, the governor has been leaning toward not expanding Medicaid.
State Activity:
· Governor Christie was opposed to the ACA and had expressed a belief that Medicaid in New Jersey has already been sufficiently expanded under previous Democratic governors. His change of heart was due to the fact that New Jersey would be missing out on federal dollars while the residents' federal taxes went to work in other locations. Christie has also said that participating will save the state substantial money but that the federal government hadbudget work to do and should look to New Jersey's example.
· New Jersey has received an 1115 to expand coverage for low-income, childless adults not currently eligible for Medicaid or able to get private coverage.
· Seton Hall and Rutgers have held presentations regarding the determination of EHB benchmarks.
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