Congressional Democrats are considering establishing a nationally administered Medicaid benefit to fund healthcare services for low-income people in states that opted not to expand the program under the Affordable Care Act.
Though the proposal is most immediately appealing to the Left, by making benefits more standardized and administered at the national level, the reform might, in the long run, make it possible to rein in the program’s rapidly growing costs.
The Supreme Court in 2012 ruled that the Affordable Care Act’s attempt to require states to expand Medicaid to all low-income adults was unconstitutionally coercive of states. To this day, 12 states have chosen not to expand the program.
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