Medicaid is burdening the states with financial liabilities of hundreds of billions of dollars. Already Obamacare is making this problem far worse through its “maintenance of effort” clause, which forbids states from tightening their eligibility requirements even as their economies shrink.
And beginning in 2014, the states will be responsible for administering a Medicaid expansion: All families earning up to 133 percent of the poverty level will become eligible. An estimated 17 million more patients will flood the program. Even though services for these patients will be financed primarily by the federal government (over 90 percent of the long-term costs), the administrative costs (billions of dollars per state) will not be.
Keep reading this post . . .