![]() ![]() Nebraskans voted in favor of Nebraska Initiative 427, which requires the state to submit a state plan amendment or documents seeking waiver approval to CMS on or before Apto implement the Medicaid expansion. 4 In comparison, I-185 supporters had spent nearly $8 million, primarily from the Montana Hospital Association. As of late October, tobacco companies had spent more than $17 million on advertising and other efforts to oppose the ballot measure, most of which came from cigarette maker Altria. The Montana State Legislature, which remains in Republican control following the 2018 midterm election, 3 could take action to continue the expansion program beyond June 2019 despite the ballot measure’s failure. The initiative also would have eliminated the sunset date for the Medicaid expansion, which is set to expire on June 30, 2019. The measure proposed raising taxes on all tobacco products (including e-cigarettes and vaping products) and dedicating a percentage of increased tax revenues for Montana’s current Medicaid program veterans’ services smoking prevention and cessation programs and long-term care services for seniors and people with disabilities. Montanans voted down Montana I-185 after spending on campaigns for and against the initiative made it the most expensive ballot measure race in Montana history. KFF examines the implications of the election. 6, 2018 election, bringing the total number of states that have adopted #MedicaidExpansion under the ACA to 37. Idaho, Nebraska and Utah voters passed ballot initiatives to expand Medicaid in the Nov. Outgoing Governor Butch Otter endorsed the ballot initiative less than a week before the election, 1 and Republican Governor-elect Brad Little has said he will implement the initiative. The Idaho Department of Health and Welfare is required and authorized to take all actions necessary to implement the provisions of this section as soon as practicable. Idahoans voted in favor of Idaho Proposition 2, a ballot initiative that requires the state to submit a state plan amendment to the Centers for Medicare and Medicaid Services (CMS) to implement the Medicaid expansion no later than 90 days after the approval of the act. ![]() Outcome of Medicaid Expansion Ballot Measuresįour states voted on Medicaid expansion ballot initiatives. In states that had governor races with implications for Medicaid expansion, changes in the composition of state legislatures are also important as governors in most states will need to work with their legislatures in order to adopt the expansion. States examined include those that had Medicaid expansion ballot initiatives and states in which governor races have potential implications for Medicaid expansion. This fact sheet highlights key states in which the results of the 2018 midterm elections have implications for Medicaid expansion adoption or implementation. Many studies on the effects of the ACA Medicaid expansion point to positive effects on coverage, access to care, service utilization, and state budgets and economies. States may implement the expansion at any time, and while they can no longer receive 100% federal financing for three years, they remain eligible for enhanced federal financing of 93% in 2019 and 90% in 2020 and beyond. Following the election, 37 states including the District of Columbia have adopted the ACA’s Medicaid expansion. While not typically an election issue, Medicaid - particularly the Medicaid expansion created under the Affordable Care Act (ACA) - was an important issue in the 2018 midterm elections in a number of campaigns throughout the country. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |