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Medicaid and Incarcerated Individuals (CRS Report for Congress)

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Release Date Revised July 24, 2024
Report Number IF11830
Report Type In Focus
Authors Evelyne P. Baumrucker
Source Agency Congressional Research Service
Older Revisions
  • Premium   Revised Aug. 24, 2023 (2 pages, $24.95) add
  • Premium   May 12, 2021 (2 pages, $24.95) add
Summary:

Medicaid is a joint federal-state means-tested entitlement program that finances the delivery of primary and acute medical services, as well as long-term services and supports, for a diverse low-income population. States that operate their programs within broad federal rules are entitled to federal Medicaid matching funds. (See CRS Report R43357, Medicaid: An Overview.) The Patient Protection and Affordable Care Act (ACA; P.L. 111-48, as amended), and a subsequent Supreme Court decision (National Federation of Independent Business v. Sebelius), made it optional for states to expand Medicaid coverage to non-elderly adults with income up to 133% of the federal poverty level beginning in 2014. In states that expanded Medicaid, many individuals transitioning into and out of incarceration—a population that tends to have higher rates of substance use disorder, mental illness, and chronic disease than the general population—were eligible for Medicaid for the first time. This In Focus describes how incarceration can impact the availability of federal Medicaid payment and an individual’s Medicaid coverage.