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Medicaid and CHIP

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Medicaid: State Issues

Medicaid—a federal/state partnership with shared authority and financing—is a government sponsored insurance program for low-income individuals. Medicaid pays for health and long-term care services for more than 70 million people. These pages contain resources on a wide array of state issues related to Medicaid programs.

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Medicaid: Federal Issues

Repealing and revising federal health law associated with the provisions of the Affordable Care Act is a primary declared goal of the Trump administration and congressional republican leaders in 2018. This web page will serve as a landing page for links to federal Medicaid resources.

MEDICAID & CHIP

Medicaid and CHIP

All Documents

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Health and Human Services

The Health and Human Services Committee is one of eight NCSL Standing Committees that educates Congress and federal agencies about state concerns and serves as a forum for state legislators and legislative staff to learn about and share information regarding programs and initiatives in other states.

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Medicaid for State Policymakers

Overview of pages related to Medicaid policy issues such as work requirements, costs, waivers, fraud and abuse, prescription drugs, reform, long-term care supports.

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Overview

Enacted in 1965 as Title XIX of the Social Security Act, Medicaid is a means-tested entitlement program that finances primary and acute medical services as well as long-term care for more than 70 million people. As an entitlement program, all people who meet Medicaid’s eligibility criteria are eligible to enroll and receive services; enrollment caps are currently not allowed. Medicaid covers some federally mandated low-income populations, including pregnant women and young children, children and adults with diverse physical and mental health conditions and disabilities, and poor elderly and disabled Medicare beneficiaries. Eligibility varies widely among states because, although states must meet federal minimum requirements, states may also choose to cover additional optional populations. Medicaid expansion has been in the spotlight as states decide whether to cover additional people under the program.