When Should An 1115 Medicaid Expansion Experiment be Approved? Considering The Case Of Georgia Pathways
Document Type
Article
Publication Date
4-11-2022
ISSN
1544-5208
Publisher
Project HOPE
Language
en-US
Abstract
Historically, demonstration waivers have been used to expand eligibility, improve delivery, increase benefits, and otherwise improve the Medicaid program. The waivers granted during the Trump administration were a departure from both Republican and Democratic administrations’ determinations as to the merits of state waiver proposals. Georgia’s proposed demonstration, known as Georgia Pathways, merited especially close scrutiny: a Medicaid “expansion” for low-income adults in name only, with exclusionary conditions on enrollment and coverage already proven to cause major harm when attempted in other states. In addition to the legal issues raised, the Georgia case raises deeper policy questions about when the Department of Health and Human Services (HHS) should use its considerable section 1115 powers.
Recommended Citation
Sara Rosenbaum, Nicole Huberfeld, Maria Casoni, Erin Brantley, Alexander Somodevilla & Morgan Handley,
When Should An 1115 Medicaid Expansion Experiment be Approved? Considering The Case Of Georgia Pathways
,
in
Health Affairs
(2022).
Available at:
https://scholarship.law.bu.edu/shorter_works/242
Publisher URL
https://www.healthaffairs.org/content/forefront/should-1115-medicaid-expansion-experiment-approved-considering-case-georgia-pathways