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Week 6 Assignment
Write an essay about a current event elated to health policy. It could be local, state, national, or international
On 11th March 2021, a $1.9 trillion Covid-19 Stimulus Bill was signed into law by President Joe Biden. In essence, the said bill seeks to deliver direct and immediate relief to workers and families impacted by the Covid19 pandemic. Among the core provisions of the Bill, which was passed by Democrats in Congress without a Republican vote, is an incentive to encourage the various states that have not undertaken to expand Medicaid coverage under the Affordable Care Act of 2010 to consider making such a move. The provision is based on the Federal Medial Assistance Percentage (FMAP), which as Rudowitz, Corallo & Garfield (2021) observe happens to be the total amount advanced to states by the federal government to ensure their Medicaid programs are funded. The FMAP is 90 percent for beneficiaries eligible through Medicaid expansion, which implies that almost the entire expansion cost is covered by the federal government (Rudowitz et al., 2021). The Bill, however, incentivizes Medicaid expansion by the 12 states that are yet to do so by ensuring that in the traditional Medicaid program, there is an additional five percent paid by the federal government in terms of Medicaid costs for a 2-year...
In essence, the 5% increase happens to be a significant injection of federal funds into states with sources projecting that traditional Medicaid program spending is responsible for close to 80% of total program spending even in those jurisdictions having in place expanded coverage (Gee & Waldrop, 2021).
Another provision in the Bill seeks to ensure that persons who no longer have access to private or employer-sponsored coverage as a consequence of the prevailing COVID19 pandemic have their health insurance costs picked up by the federal government. As Ollove (2021) points out, there is likely to be a significant increase in the number of persons who enroll for health insurance as a result of generous subsidies to non-expanding states as well as tweaks to certain insurance standards. The targeted states also stand to reap huge benefits from the incentive for instance, Florida and Georgia, the two largest holdout states, could net $3.5 billion and $5.9 billion respectively if they took the deal (Rudowitz et al., 2021). This begs the question - to expand or not to expand Medicaid coverage?
As per the initial design of the ACA, individuals whose households raked in less than 138% of the federal poverty level were eligible for Medicaid (Sohn & Timmemans, 2017). It should be noted that…
References
Mazurenko, O., Balio, C. P., Agarwal, R., Caroll, A. E., & Manachemi, N. (2018). The Effects of Medicaid Expansion under the ACA. A Systematic Review. Health Affairs, 37(6), 944-50.
Rudowitz, R., Corallo, B., & Garfield, R. (2021). New Incentive for States to Adopt the ACA Medicaid Expansion: Implications for State Spending. Kaiser Family Foundation. Retrieved from https://www.kff.org/medicaid/issue-brief/new-incentive-for-states-to-adopt-the-aca-medicaid-expansion-implications-for-state-spending/
Ollove, M. (2021). Covid19 Relief Package Includes Expansion of Healthcare Coverage. PEW Research Center. Retrieved from https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2021/02/18/covid-19-relief-package-includes-expansion-of-health-care-coverage
Sohn, H., & Timmermans, S. (2017). Social Effects of Healthcare Reform: Medicaid Expansion under the Affordable Care Act and Changes in Volunteering. Socius, 3(1), doi: 0.1177/2378023117700903
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