The States Achieve Medicaid Expansion (SAME) Act of 2021 would allow states that expanded Medicaid after 2014, or who expand Medicaid in the years ahead, to receive the same full federal matching funds as states that expanded Medicaid earlier under the terms of the Affordable Care Act.
"The COVID-19 crisis has destroyed jobs all across America, costing millions of people their employer-provided health benefits at a time when health insurance could make or break a family financially," said
"Health care is a human right, and for too long, too many Georgians have been denied access to affordable health care through Medicaid," Sen. Reverend Warnock said. "I've long believed that expanding Medicaid in
The SAME Act would ensure that the fourteen states that chose to expand Medicaid after
The Affordable Care Act provides financial support from the federal government to states that have expanded their existing Medicaid programs to provide health care coverage to all individuals up to 138 percent of the federal poverty level. The federal government covers the full cost of expansion for three years, phasing down to a 90 percent match rate for the sixth year of the expansion and in subsequent years. In passing the Affordable Care Act,
The SAME Act would address this discrepancy by ensuring that any states that expand Medicaid receive an equal level of federal funding for the expansion, regardless of when they chose to expand. Under the bill, a state would receive three years of full federal funding, phasing down to a 95 percent Federal Medical Assistance Percentages (FMAP) in Year 4; a 94 percent federal contribution in Year 5; 93 percent in Year 6; and, 90 percent for each year thereafter.
The SAME Act would save
Currently, 39 states and the
Numerous studies have shown that expanding Medicaid benefits states directly and indirectly, in the form of jobs and earnings growth, additional federal revenue, increased Gross State Product, increased state and local revenues and reduced uncompensated care and hospital costs.
"The SAME Act would give states a powerful incentive to broaden access to their Medicaid programs by providing full federal support for the first three years. This incentive was previously available when states could begin their expansion efforts in 2014, resulting in millions of people with cardiovascular disease and other chronic conditions gaining access to quality health coverage. We urge lawmakers to support this important legislation to help ensure their constituents can get the care they need," said
"During this continued COVID-19 pandemic ensuring Virginian's health needs are covered is more important than ever.
"Good health is essential to thriving communities, and the expansion of
This legislation has the support of numerous health organizations, including the
Text of this legislation is available here: https://www.warner.senate.gov/public/_cache/files/f/f/ffa33a79-932a-452f-8bb8-2b313905bcfe/17046CA6EC64C211B3F1939CE41A61AF.same-act-for-introduction.pdf