State Fiscal Considerations and Research Opportunities Emerging from the Affo…

As enacted, the Affordable Care Act (ACA) directed states to provide Medicaid coverage to most nonelderly adults with incomes up to 138% of the Federal Poverty Level (the “Medicaid expansion group”) beginning in 2014. 1 The Medicaid expansion provision of the ACA is an integral mponent of fulfilling the ACA’s primary objective to achieve near-universal health insurance coverage rates acr…