Politics & Government

Doug Jones Introduces Bill To Expand Medicaid

Jones' bill is aimed at motivating the state, as Alabama, along with 13 other states, has yet to expand Medicaid.

Doug Jones introduced a bill to incentivize Alabama and 13 other states to expand Medicaid.
Doug Jones introduced a bill to incentivize Alabama and 13 other states to expand Medicaid. (J. Scott Applewhite/Associated Press)

WASHINGTON, DC - Alabama is one of 14 states that have yet to expand Medicaid, and Sen. Doug Jones is trying to change that. Jones introduced a bill this week that would ensure that states that chose to expand Medicaid after 2014 are eligible for the same level of federal matching funds as states that expanded Medicaid earlier.

Jones, along with Senator Mark Warner (D-Va.) introduced the States Achieve Medicaid Expansion (SAME) Act of 2019, which is co-sponsored by Senators Tammy Baldwin (D-Wis.), Tom Carper (D-Del.), Chris Coons (D-Del.), Tim Kaine (D-Va.), Angus King (I-Maine), Gary Peters (D-Mich.), and Debbie Stabenow (D-Mich.). The bill was recently re-introduced in the U.S. House of Representatives and co-sponsored by Congresswoman Terri Sewell of Alabama.

“By refusing to expand Medicaid, Alabama has turned away $14 billion of our own taxpayer dollars. For years, those dollars could have helped keep our hospitals open, support good jobs in our communities, and provide health coverage for hundreds of thousands of Alabamians. This isn’t a partisan issue – expanding Medicaid is the right thing to do,” Jones said. “Alabama can no longer afford not to expand, and our SAME Act legislation would ensure that states will get a fair deal when they do. I urge my colleagues on both sides of the aisle, and on both sides of Capitol Hill, to support this common sense bill.”

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Medicaid is a joint federal and state insurance program that covers medical costs for eligible low-income Americans. In 2010, states were given the option to expand their Medicaid programs to cover people who earn up to 138 percent of the federal poverty level. Under this deal, the federal government would cover the full cost of the expansion for the first three years, and gradually step down to cover 90 percent permanently.

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The SAME Act would ensure that any states that choose to expand Medicaid get a second chance to receive these same levels of federal funding. Under this bill, a state would receive three years of full federal funding, phasing down to a 95 percent Federal Medical Assistance Percentages (FMAP) in Year 4; a 94 percent federal contribution in Year 5; 93 percent in Year 6; and, 90 percent for each year thereafter. Alabama alone would receive $2 billion in federal dollars the first year after expansion.

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