Overview of Medicaid
Medicaid is a health insurance program for low-income Americans funded jointly by states, territories, and the federal government, but administered by the states. More than 50 million people are currently enrolled in Medicaid, making it one of the largest health plans in the United States. Although the Federal government establishes certain parameters for all states to follow, each state administers their Medicaid program differently, resulting in variations in Medicaid coverage across the country.
Beginning in 2014, the Patient Protection and Affordable Care Act (ACA) provided states with the authority to expand Medicaid eligibility to include individuals, largely working adults without children with incomes up to 138 percent of the federal poverty level (FPL). States expanding coverage to this population are eligible for an enhanced federal medical assistance percentage (FMAP) in which the federal government pays 93 percent of the cost of Medicaid services in 2019 and 90 percent in 2020 and beyond, significantly higher than the FMAP for services offered to the “traditional,” non-expansion Medicaid population, including children, the disabled, elderly people, and pregnant women.
Recent AAFP Communications
AAFP Response to CMS Maternal Health RFI - May 31, 2020(9 page PDF)
AAFP Letter for the Senate Finance Committee RFI on Maternal Health - April 3, 2020(2 page PDF)
AAFP Support Letter on the Black Maternal Health Momnibus Act of 2020 - March 8, 2020(1 page PDF)
AAFP Letter of Support for Helping Medicaid Offer Maternity Services Act (HR 4996) - November 22, 2019(1 page PDF)
AAFP Letter to CMS on Opioid Action Plan - October 10, 2019(9 page PDF)
Joint Communications with Other Organizations
Joint Letter to Senators Brown and Murray in Support of the Ensuring Access to Primary Care for Women and Children Act of 2020 - June 25, 2020(2 page PDF)
Joint Letter to Congress on COVID-19 and Reducing Maternal Health Disparities - June 9, 2020(5 page PDF)
Joint Letter to Congress Regarding COVID-19 for Medicaid and Unemployment Insurance - April 28, 2020(3 page PDF)
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