One of the toughest currents – and ironically the most far-reaching insofar as coverage is concerned – is represented by the Medicaid expansion. Of the 32 million additional children and adults who will have insurance coverage when the Act is fully implemented, a full 16 million stand to be covered through a Medicaid expansion. The effect of this expansion is to reshape Medicaid from a program covering certain categories of the poor into one that offers universal public insurance for all non-elderly low income citizens and long-term legal residents living in poverty.
This blog post by Sara Rosenbaum explores the Court's nuanced analysis of the Medicaid expansion provision in the Affordable Care Act.