The Obameter

Expand eligibility for Medicaid

"Expand eligibility for the Medicaid and SCHIP programs and ensure that these programs continue to serve their critical safety net function."


Health care bill includes landmark expansion of Medicaid

The health care bill signed into law by President Barack Obama kept his promise to "expand eligibility for the Medicaid and SCHIP programs and ensure that these programs continue to serve their critical safety net function."

Even before passage, we had already rated the SCHIP portion a Promise Kept. Now, with passage of the health care bill, Medicaid -- the federal-state program that provides health coverage for lower-income Americans -- will see a landmark expansion.

Historically, Medicaid coverage has been focused primarily on pregnant women, children and the disabled. Under the new law, eligibility will be expanded to all individuals under age 65 with incomes up to 133 percent of the federal poverty level. New beneficiaries will be assured a package that includes essential health benefits.

This new coverage is set to begin in 2014, but we believe the enactment of the law fulfills Obama's promise. If something happens to derail this policy change before 2014, we will adjust the rating, but for now, we're considering it a Promise Kept.


Kaiser Family Foundation, side-by-side comparison of health care bills, accessed March 23, 2010

Health reform bill in House dramatically expands Medicaid eligibility

After months of talking about health care reform, the U.S. House of Representatives introduced major legislation to overhaul the nation's health care system. House Democrats unveiled the 1,000-plus-page bill, called America's Affordable Health Choices Act of 2009, on July 14, and it includes most of President Barack Obama's key proposals on health reform.

One of Obama's ideas was to expand eligibility for Medicaid, a public health insurance program primarily for pregnant women, children and the disabled. The House bill expands Medicaid eligibility to poor adults, which it defines as nondisabled, childless adults under age 65 with income at or below 133 percent of federal poverty level, about $14,400 per year for an individual.

We should be clear that there's a long way to go — maybe months — before this bill becomes law. It has to get through the Senate, where many an ambitious House bill has seen its hopes dashed.

Nevertheless, the bill marks significant, measurable progress on Obama's promise, and we rate it In the Works.


Thomas, HR 3200 , introduced July 14, 2009

U.S. House of Representatives Energy and Commerce Committee, House Democrats Introduce Bill to Provide Quality, Affordable Health Care for All Americans , July 14, 2009

Centers for Medicaid and Medicare Services, Medicaid eligibility: Are you eligible? , accessed July 15, 2009