Med­i­caid ex­pan­sion un­der the Af­ford­able Care Act gained mo­men­tum in the first half of the year,

Modern Healthcare - - NEWS - —Vir­gil Dick­son

with Mon­tana and Louisiana bring­ing the num­ber of ex­pan­sion states to 31. Other Re­pub­li­can-led states, in­clud­ing Ok­la­homa, South Dakota, Utah and Wy­oming also seemed to be mov­ing in that di­rec­tion.

But most ob­servers be­lieve the elec­tion of Don­ald Trump, who has promised to re­peal the ACA, mean those ef­forts are dead. Af­ter the elec­tion, South Dakota Re­pub­li­can Gov. Den­nis Dau­gaard met with Vice Pres­i­dent-elect Mike Pence and with­drew his pro­posal.

Lead­ers of states that al­ready have ex­panded, in­clud­ing Cal­i­for­nia and Michi­gan, have urged GOP lead­ers to let them keep their ex­pan­sion pro­grams.

Mean­while, Ari­zona, Ken­tucky and Ohio sought per­mis­sion from the Obama ad­min­is­tra­tion to add con­ser­va­tive, pa­tient-re­spon­si­bil­ity fea­tures for their newly el­i­gi­ble Med­i­caid pop­u­la­tions.

Those ideas will gain new cur­rency in the next ad­min­is­tra­tion.

To lead the CMS, Trump se­lected Seema Verma, a con­sul­tant who helped In­di­ana de­velop a Med­i­caid ex­pan­sion model in­fused with such fea­tures, such as a re­quire­ment that ben­e­fi­cia­ries con­trib­ute to a health sav­ings ac­count.

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