Shifting threats and rhetoric: how Republican governors framed Medicaid expansion

U.S. governors and the Medicaid expansion--no quick resolution in sight.

Business Associations, Conservative Networks, and the Ongoing Republican War over Medicaid Expansion.

A major component of the Affordable Care Act involves the expansion of state Medicaid programs to cover the uninsured poor. In the wake of the 2012 Supreme Court decision upholding and modifying reform legislation, states can decide whether to expand Medicaid-and twenty states are still not proceeding as of August 2015. What explains state choices about participation in expansion, including gov...

The Politics of Need: Examining Governors’ Decisions to Oppose the “Obamacare” Medicaid Expansion

This article explains governors’ decisions to support or oppose Medicaid expansions offered under the 2010 Patient Protection and Affordable Care Act. We theorize that governors’ decisions to oppose the funding should depend on both political demands and the level of need in the state, though politics and need are often in tension. We find that governors’ partisanship and the composition of the...

The Shifting Rhetoric of Insurance Denial

How Will Section 1115 Medicaid Expansion Demonstrations Inform Federal Policy?

Section 1115 of the Social Security Act allows the U.S. Department of Health and Human Services and states to test innovations in Medicaid and other public welfare programs without formal legislative action. Six states currently operate their Medicaid expansions as demonstrations and several more are expected to seek permission to do so. While the current Medicaid expansion demonstrations vary,...