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ACA Medicaid Expansion & Public Programs Flashcards

6 cards from real ACA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Under the ACA, Medicaid expansion extended eligibility to adults with incomes up to what percentage of the federal poverty level (FPL)?

    Answer: 138% FPL

    The ACA's Medicaid expansion covers adults with household incomes up to 138% of the FPL (133% plus a 5% income disregard).

  2. What was the Supreme Court ruling in NFIB v. Sebelius (2012) regarding ACA Medicaid expansion?

    Answer: States may choose whether to expand Medicaid without losing existing federal Medicaid funding

    In NFIB v. Sebelius, the Supreme Court ruled that states could opt out of Medicaid expansion without losing their existing federal Medicaid funding, making expansion voluntary.

  3. Under the ACA, what is the federal government's matching rate (FMAP) for newly eligible Medicaid expansion enrollees?

    Answer: 100% federal match through 2020, then 90%

    The federal government paid 100% of Medicaid expansion costs through 2016, phasing down to a permanent 90% federal match starting in 2020.

  4. Which population group was newly eligible for Medicaid under ACA expansion that was not previously covered in most states?

    Answer: Low-income adults without dependent children

    Before ACA expansion, most states did not cover childless adults regardless of income; the ACA created a new eligibility category for low-income adults without dependent children.

  5. What is the 'coverage gap' that exists in non-expansion states under the ACA?

    Answer: Adults who earn too much for traditional Medicaid but too little for Marketplace subsidies

    In non-expansion states, adults above the state's traditional Medicaid income limit but below 100% FPL fall into a coverage gap: ineligible for Medicaid and ineligible for Marketplace premium tax credits.

  6. Under the ACA, which federal agency oversees Medicaid program administration and expansion implementation?

    Answer: The Centers for Medicare & Medicaid Services (CMS)

    The Centers for Medicare & Medicaid Services (CMS) within HHS administers Medicaid at the federal level and oversees state implementation of ACA expansion.