[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Curated health policy research and original commentary from across the JAMA Network
[Skip to Content Landing]
JAMA Forum

With Medicaid Expansion, Will the ACA Achieve Its Vision of Near-Universal Coverage?

The Supreme Court’s decision last week on the constitutionality of the Affordable Care Act (ACA) has been acclaimed as a victory for health care reform, as well as for President Obama. A critical part of the decision, however, goes to the heart of the ACA’s promise of near-universal coverage. The law set vital new conditions on the receipt of federal funding for Medicaid: it requires states to expand their eligibility rules to cover all people with incomes less than 133% of the federal poverty level, and if they decline to do so, they could lose not only federal funding for the Medicaid expansion but also federal funding for existing state Medicaid programs.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words