NCSL podcasts connect you with state legislatures, offering insights from legislative leaders and staff, astute political observers and public policy experts from across the nation. Download or stream our collection today.

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Medicaid is a state-federal health insurance program designed to provide relief for the less fortunate, including low-income people, the elderly and people with disabilities. The program is a significant part of state budgets. State expenditures on Medicaid exceeded $600 billion in 2018, with about 1 in 5 Americans receiving coverage. The federal government accounts for about 60 percent of this financing with the rest coming from state budgets.

All 50 states participate in the Medicaid program. But, as we learn in this episode, states have flexibility in how to determine spending, eligibility and covered services. We learn how some states are looking to reduce their Medicaid spending and how others are moving to expand their services. We’ll also explore the relationship with the program and the Affordable Care Act, as well how mental health, behavioral health and living conditions are influencing policymakers’ decisions on how to appropriate funding.

To walk us through the various issues is Emily Blanford, a program principal in NCSL’s health program, specializing in Medicaid policy. 

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