HHS asked to clarify states' options after Supreme Court ruling on ACA

AHA News Now

The National Governors Association and National Association of Medicaid Directors have asked federal officials to clarify how the recent Supreme Court ruling on the Patient Protection and Affordable Care Act will affect states' Medicaid options under the law. On June 28, the U.S. Supreme Court ruled the ACA's individual mandate and Medicaid expansion constitutional, but struck down a provision that allowed Congress to take all Medicaid funds from a state that refuses to participate in the Medicaid expansion. The decision allows states to choose whether to expand their Medicaid program with federal funding. In separate letters last week, NGA and NAMD posed questions about the ruling's impact to Department of Health and Human Services officials. NGA said "formal guidance from HHS will assist governors as they deliberate next steps" at the NGA's Annual Meeting on July 13. Among other questions, NAMD asked the Centers for Medicare & Medicaid Services to clarify whether states are still subject to Medicaid maintenance of effort requirements prior to 2014 and whether Medicaid funding for Disproportionate Share Hospitals will still be reduced according to the schedule stipulated in the ACA.

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