States set to pare back bloated Medicaid rolls as COVID-related extra funding runs out

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States set to pare back bloated Medicaid rolls as COVID-related extra funding runs out
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Medicaid rolls swelled during the coronavirus pandemic, but could shrink substantially in April when state governments end a three-year moratorium on checking eligibility requirements.

Medicaid added 20.2 million people to its rolls between February 2020 and October 2022 alone, costing the federal government $592 billion. The surge came after Congress passed legislation in March 2020 requiring states to maintain continuous Medicare coverage for enrollees.

The additional money was a boon for most jurisdictions as Medicaid is funded through a 50-50 cost-sharing program between the federal government and states. “There are likely 5-to-15 million people on Medicaid right now that are no longer eligible for it,” the aide said. “Medicaid was always intended for the aged, blind, and disabled — for the least in our society, who need help the most,” said Rep. Buddy Carter, Georgia Republican. “Trying to get back to that would probably be beneficial.”

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