Commonwealth Fund April 16, 2021
Cindy Mann


Three nonexpansion states — Florida, Tennessee, and Texas — received Medicaid waivers in the Trump administration’s last days, allowing uncompensated care pool funding to substitute for health care coverage

Uncompensated care pools can help hospitals caring for the uninsured, but are no substitute for coverage; if Florida, Tennessee, and Texas expanded Medicaid, an estimated 1.3 million people could get health insurance

In its final weeks, the Trump administration approved 10-year Section 1115 Medicaid waivers for Florida, Tennessee, and Texas — three states that have not expanded Medicaid under the Affordable Care Act (ACA). These waivers, which allow states to use Medicaid funds in ways not otherwise permitted, could shape the Medicaid programs in these three states for the next...

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