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Medicaid expansion, FMAP shifts and postpartum coverage draw committee scrutiny
Summary
Analyst and department officials reviewed why expansion costs exceeded early projections, explained a partial FMAP shift to state funds, and updated the panel on postpartum coverage and emergency Medicaid spending.
Committee members asked why Medicaid expansion costs exceeded the Milliman report forecasts and what changes to federal match rates (FMAP) mean for state costs.
Alex Williamson told JFAC the expansion population originated from a voter initiative (2018/2019) and that the legislature authorized expansion with a Jan. 2020 go‑live. Forecasts used the Milliman report (2018), which “were a best guess” and did not anticipate a global pandemic or later provider rate increases, she said.
Williamson presented examples of the 2025 federal poverty guideline thresholds used for eligibility: a single person qualifies at…
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