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Health Reform Issue Brief: Medicaid Premium Assistance Plans

October 2013



Review of state proposals to expand ACA coverage by purchasing insurance coverage to those up to 138% of the federal poverty level instead of expanding Medicaid eligibility. 

Brief covers:

  • Premium assistance plan requirements (e.g., cost-effectiveness" compared to Medicaid coverage).
  • Monitoring Medicaid premium assistance plans (considerations for Ryan White and other programs to ensure adequate coverage for vulnerable populations, like cost-sharing and coverage of prescription drugs, which may vary from traditional Medicaid).


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