32 states have adopted the Medicaid expansion program, under the ACA. That includes DC, leaving 19 states that have opted out. Currently this expansion program is being discussed, at least as to how it will continue to be funded in the wake of the Trump admin wanting to repeal and replace the ACA (Obamacare).
Luckily for the millions taking advantage of the expansion program, it seems as though the current idea is to continue to federally fund the expansion programs for the 32 states in full, until 2020. After that, hard to say. I have seen citings that the funding will drop to 90% after 2020. But could be much more severe. Also, this 2020 date is not concrete or official just yet; it's just the current House Committee proposal. But seeing as this is at least the current bargaining date, my feeling is it will end up being quite close to this.
What do you make of this? Should Medicaid Expansion be re-worked if and when the ACA gets changed/repealed/replaced/or even left untouched? If so, how?
We do have an update on this. The 'American Health Care Act' has just been proposed; it's the GOP answer to what they will rpelace the ACA with. It proposes to leave the Medicaid expansion program for the most part as is, until the beginning of 2020. Per NPR:
Medicaid stays the same-ish until 2020. In the 32 states plus D.C. that expanded Medicaid under the Affordable Care Act, people who are eligible can continue to enroll until Jan. 1, 2020, under the Republican bill, if it becomes law. But that bill proposes to eventually switch Medicaid from being open-ended coverage to a per-person allotment for new enrollees.
I don't like artificial "end" dates because Congress has never shown that they are able to adhere to them whatsoever. What typically happens is they do nothing until a month or two before the "end" date and then pass stopgap extensions for years and years.
If they are going to do away with Medicaid expansion then they should just do away with it. I know that sounds harsh, but acting like they are going to spend three years coming up with a replacement is misleading at best.