Current Status of Medicaid Expansion in State:
State has decided not to expand Medicaid.
Regular legislative process
11% of Utah residents are enrolled in Medicaid. Nearly all beneficiaries have managed care. Utah's current Medicaid program covers up to 200% FPL depending on the specific program. The Department of Health oversees the state's Medicaid program.
Expansion of Medicaid to 133% FPL would be a 56% increase over current enrollement.
Following the election (in which Governor Gary Herbert was re-elected), the Governors office repeated that no decision has been made yet.
· Utah is one of the states that sued for repeal of the ACA.
· In his campaign for re-election, Governor Herbert called the ACA “unsustainable” and expressed concerns over creating a culture of dependency and the inability of the U.S. to afford health care reform. No provisions have been made in the budget for an expansion.
· Utah has received an 1115 Waiver to expand coverage for adults who do not have health insurance and are not otherwise eligible for Medicaid, Medicare, or veteran's benefits.
· The state opened the EHB benchmark decision to public comment.