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Medicine and Public Issues |

Health Policy Basics: Medicaid Expansion

Ryan A. Crowley, BSJ; and William Golden, MD
[+] Article and Author Information

This article was published online first at www.annals.org on 24 December 2013.


From the American College of Physicians, Washington, DC, and Arkansas Division of Medical Services and University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Grant Support: Financial support for the development of this article came exclusively from the American College of Physicians operating budget.

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2626.

Requests for Single Reprints: Customer Service, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.

Current Author Addresses: Mr. Crowley: 25 Massachusetts Avenue NW, Washington, DC 20001-7401.

Dr. Golden: University of Arkansas for Medical Sciences, 4301 West Markham, Box 820, Little Rock, AR 72205.

Author Contributions: Conception and design: R.A. Crowley, W. Golden.

Analysis and interpretation of the data: R.A. Crowley, W. Golden.

Drafting of the article: R.A. Crowley.

Critical revision of the article for important intellectual content: R.A. Crowley, W. Golden.

Final approval of the article: R.A. Crowley, W. Golden.

Administrative, technical, or logistic support: R.A. Crowley.

Collection and assembly of data: R.A. Crowley, W. Golden.


Ann Intern Med. 2014;160(6):423-425. doi:10.7326/M13-2626
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Medicaid is the largest single source of health insurance coverage in the United States, providing insurance for more than 62 million persons and families in 2013. The Patient Protection and Affordable Care Act sought to expand Medicaid eligibility to nearly all low-income persons with incomes up to 138% of the federal poverty level. However, the U.S. Supreme Court ruled that states’ expansion would be optional. Although more than half of the states and the District of Columbia have opted to expand Medicaid starting in 2014, many states continue to oppose increasing access to the program. This article will discuss the basic provisions of the expansion and the benefits and challenges patients and physicians may face as Medicaid grows.

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