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Annual 50-state Medicaid director survey released: states report expansion and enhancement

The Kaiser Family Foundation

Results of the 19th annual Medicaid Budget Survey were released Oct. 18, 2019 and examine changes taking place in Medicaid in all 50 states and the District of Columbia. The Kaiser Family Foundation (KFF) and HMA conducted the annual survey in partnership with the National Association of Medicaid Directors.

Key findings of the survey include:

  • Multiple states reported expansions or enhancements to provider rates and benefits.
  • Several states implemented, adopted, or continued to debate the ACA Medicaid expansion.
  • A growing number of states continued to pursue work requirements and other policies promoted by the Trump administration that could restrict eligibility.
  • States are implementing Medicaid initiatives to address social determinants of health, control prescription drug spending, improve birth outcomes and reduce infant mortality, and address the opioid epidemic.

The report was prepared by Kathleen Giff­ord and Aimee Lashbrook, Eileen Ellis and Mike Nardone, and by Elizabeth Hinton, Robin Rudowitz, Maria Diaz, and Marina Tian.

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Kathy Gifford

Kathy Gifford, JD

Indianapolis, IN
Aimee Lashbrook

Aimee Lashbrook, JD, MHSA

Associate Principal
Lansing, MI