New Briefing Examines Progress in Medicare, Medicaid Changes Since Reform Was Enacted

In the wake of the U.S. supreme Court decision in National Federation of Independent Business, et al v. Sebelius (No. 11-393) much attention has been focused on how different states are reacting to the decision. The Court limited the penalties a state faces if it doesn’t expand its Medicaid program as provided under the Patient Protection and Affordable Care Act (P.L. 111-148). In the first few days after the Court decision was announced, governors in five states–Florida, South Carolina, Louisiana, Mississippi, and Wisconsin–made it clear they do not plan to expand Medicaid. Governors in six other states–Iowa, Missouri, Nebraska, Nevada, New Jersey, and Texas– raised doubt as to wether they will participate. (See “States Elect Not to Implement Part of PPACA“.)

Currently, only 10 states have affirmatively pledged to expand Medicaid.

Republicans in the House of Representatives have voted again to repeal the health reform law. The House Appropriations Subcommittee of the House Ways and Means Committee approved legislation that would cut off funding for implementation of the reform law. (See “House Appropriations Would Halt Most PPACA Implementation“.)

While much of the media attention of the law has focused on changes in the private health insurance market, many of which do not go into effect until 2014, it is important to remember that the law has been in effect for over two years, and different federal agencies have been diligently turning out regulations and guidance relating to the law.

The health reform law has almost 500 changes or additions to Medicare and Medicaid law. Almost 50 final rules adding to or amending current regulations touching on Medicare and Medicaid and other insurance changes have been issued in th last two years.

WK Law & Business has prepared a briefing that focuses just on the changes in Medicare and Medicaid programs that have come about since March 2010. The briefing is arranged topically and is keyed to explanation paragraph numbers contained in the book “Patient Protection and Affordable Care Act: Law, Explanation and Analysis. all references in the briefing to new laws, regulations, and other guidance are linked to the original source document. You can access this briefing here.