Summary:
Current Status of Medicaid Expansion in State:
State is studying options, leaning "no."
Decision Process:
Regular legislative process.
Background:
· Currently:
14% of Nebraska residents are enrolled in Medicaid. 86% of beneficiaries have managed care. The current Medicaid program covers up to 200% FPL depending on the specific program. The Department of Health and Human Services oversees the Medicaid program.
· Expansion:
Expansion of Medicaid to 133% would be a 36% increase over current enrollment.
· Process:
The governor sent a letter to the state legislature opposing the expansion on financial grounds, but did not put forth a definite decision. Nebraska has rejected the exchange.
State Activity:
· Nebraska was one of the states that sued for repeal of the ACA.
· The Governor Heineman has said that he would not support higher taxes or funding cuts in other areas to pay for the expansion.
· In studying the exchange, Nebraska held presentations and forums for advocacy groups, stakeholders, and providers.
· The state has invited all Nebraskans to be part of the health reform discussion and publicizes the Medicaid Reform Council meeting agenda, albeit undetailed, on the state's Medicaid website.
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