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Medicaid Financing

Medicaid is a public insurance option that until the Affordable Care Act covered five main groups of people: pregnant women, low-income families, disabled individuals, people who need long term care, and children.  The program is jointly funded by states and the federal government. In Georgia, the federal government provides about $6.80 for every dollar the state spends on Medicaid. Currently, there is no cap on the amount of money the federal government will match.

The AHCA changes the way Medicaid is funded. Instead of matching the money Georgia spends on Medicaid, the AHCA will pay Georgia a certain amount of money per person that is enrolled in Medicaid. This amount would be initially based on how much Georgia spends this year and will be increased each year.


Medicaid Expansion

The ACA extended coverage to non disabled low-income individuals. The federal government provides about $8.00 for every dollar a state spends on covering these newly eligible individuals. Like core Medicaid, there is no cap on the amount of money the federal government will match.

The AHCA continues to give states the option to expand Medicaid. Until 2020, the federal government will continue to match the amount the state spends at the current rate. After 2020, states would be paid a set amount per person enrolled just like the core Medicaid groups above.