Medicaid Expansion’s Positive Impact


Medicaid is one of the most crucial pieces of the U.S. health care system and provides critical health care coverage to low-income, disabled, and elderly Americans as well as to low-income children. It pays for nearly half of all births in the nation, and is the largest payer of long-term services and supports such as nursing home care and home and community-based services. Medicaid is also the largest single payer for behavioral health services, including mental health and substance use disorder treatment. Medicaid plays a major role in the treatment and prevention of chronic diseases like diabetes and cardiovascular disease; Medicaid recipients and uninsured individuals have a higher prevalence of chronic disease than the population at large.

These impacts have grown with Medicaid expansion. Since the Affordable Care Act expanded eligibility to childless adults with monthly income up to 138 percent of the Federal Poverty Level, 11 million more Americans now have access to comprehensive health care coverage. These individuals now have a means by which to treat and manage chronic conditions and comorbidities, to receive care that enables them to stay in their homes and communities, to seek treatment for debilitating mental health and substance use disorders amidst the raging opioid crisis, and to bring healthy babies into the world. Medicaid expansion has driven down hospitals’ uncompensated care costs, allowing them more resources to treat patients. (See ANA’s recent Health Policy piece on this subject). Medicaid expansion has also figured prominently in policy debates at both the national and state levels. Republican and Democratic lawmakers alike cited Medicaid expansion as reasons for their opposition to the ultimately failed American Health Care Act.

Medicaid expansion has moved the U.S. health care system toward achieving the American Nurses’ Association’s (ANA) core principles of health care reform: universal access to a standard package of essential health benefits for all citizens and residents; utilization of primary, community-based and preventative services while supporting the cost-effective use of innovative, technology-driven, acute, hospital-based services; the economical use of health care services with support for those who do not have the means to share in costs; and a sufficient supply of a skilled workforce dedicated to providing high quality health care services.

Despite a major legislative setback, discussions around health care reform and the future of the Medicaid program continue. ANA is committed to preserving the coverage gains made in recent years. ANA will continue to provide our members with all new developments on health care reform and the Medicaid program.

This Recess, #ProtectOurCare

Town halls will be taking place over the next two weeks.
Photo: Steve Pope/Getty Images

Following their failure to hold a vote on the misguided American Health Care Act (AHCA), congressional Republicans now head into a two-week recess with more questions than answers. Despite continuing negotiations with the House Freedom Caucus, the basic dynamic hasn’t changed: for every vote Republicans pick up from the conservative wing of their House caucus, they lose votes from their moderate wing. And the reason for their continued failure hasn’t changed: the AHCA is a fundamentally flawed bill that would cause millions to lose health coverage by cutting Medicaid and taking away essential benefits.

Even worse, proposed concessions made by Vice President Mike Pence could undermine protections for people with pre-existing conditions, and lead to states allowing insurance companies to charge sick people more for coverage than healthier individuals, to name just two possible outcomes.

Republicans’ persistence and the AHCA’s shortcomings underline the importance of the next two weeks. As is customary for recess periods, Members of Congress from across the country will be holding town halls to hear directly from their constituents. Now more than ever, it’s imperative that lawmakers understand that a majority of voters are opposed to the AHCA and similar efforts to make Americans less healthy.

In partnership with Families USA, check out this comprehensive toolkit to help you tell lawmakers to #ProtectOurCare. From in-person meetings to attending town halls to speaking out on social media, there’s something for everyone who wants to get involved.

Are you planning to attend a town hall meeting in the next two weeks? If so, let us know in the comments below, and good luck!