Since the Supreme Court said that expanding Medicaid programs was up to states, state officials have been hoping that they could have the option of pursuing partial expansions of their programs on the federal dime. The Health and Human Services Department dashed those hopes on Monday, saying that the 2010 health reform law means expansion is an all-or-nothing proposition. States can choose to expand to cover everyone earning up to 133% of the federal poverty level and collect 100% federal funding. Or they can stick with their existing programs and continue collecting a partial match for incremental changes.
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Dec 2012