Forum Session

Focus on Reform: Medicaid Coverage Expansions
May 7, 2010


Christie Provost Peters


The first meeting of the Forum's "Focus on Reform" series, this session examined the key provisions of the Patient Protection and Affordable Care Act (P.L. 111-148) that extends health coverage under Medicaid to millions of uninsured non-elderly adults [with incomes up to 133% of the federal poverty level (FPL)]. These provisions include the maintenance-of-effort (MOE) requirements, federal financial assistance, treatment of existing Medicaid and Children's Health Insurance Program (CHIP) coverage beyond 133% FPL, and benchmark benefits for the newly eligible.


Chris Peterson, Specialist in Health Care Financing, Congressional Research Service, provided an overview of the legislation; Cindy Mann, Director of the Center for Medicaid, CHIP and Survey & Certification at the Centers for Medicare & Medicaid Services (CMS), discussed federal requirements and CMS' timeline for implementation; and Chuck Milligan, JD, Executive Director of the Hilltop Institute at the University of Maryland, Baltimore County, and former state Medicaid Director, discussed state implementation requirements as well as the opportunities and challenges the coverage expansions present.

Slides from the presentations by Mr. Peterson, Ms. Mann, and Mr. Milligan are available for download, as are the speakers' biographies.

Related Materials

For more information, see the Forum's line of Basics on this topic: "Medicaid Eligibility and Benefits," "Medicaid Financing," and "The Medicaid Drug Rebate Program."

See also "Medicaid Financing: How the FMAP Formula Works and Why it Falls Short" (Issue Brief No. 828, December 11, 2008) for more in-depth information on FMAP.

The Forum's series focusing on health reform also includes: "Private Health Insurance Provisions" (May 14, 2010).

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