Summary:
Current Status of Medicaid Expansion in State:
State is studying options, leaning toward Expansion.
Decision Process:
Regular legislative process.
Background:
· Currently:
27% of New Yorkers are on Medicaid. 77% of all beneficiaries have managed care. The state’s Medicaid program covers up to 400% FPL depending on the specific program. The New York State Department of Health oversees the state’s Medicaid program.
· Expansion:
Expansion of Medicaid to 133% FPL would be a 6% increase over current enrollment.
· Process:
The Governor’s office has stated that New York is already mostly in line with the ACA’s Medicaid requirements, but will likely take up the expansion to increase coverage further. New York has already begun increasing coverage and is well placed for full expansion under the ACA.
State Activity:
· Governor Cuomo supported the Supreme Court’s decision and expressed a desire to work with the Obama administration to improve healthcare for New York. Director for New York's health insurance exchange planning has said that the state already meets most of the requirements under the ACA's Expansion.
· New York has received an 1115 Waiver to expand coverage for uninsured childless adults up to 100% FPL and 150% of the medically needy Medicaid income standard.
· New York has studied and determined an EHB benchmark for the exchange.
|