Selected Issues Related to the Effect of NFIB v. Sebelius on the Medicaid Expansion Requirements in Section 2001 of the Affordable Care Act

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FROM:
Kathleen S. Swendiman
Legislative Attorney

Evelyne P. Baumrucker
Analyst in Health Care Financing

This memorandum has been prepared for distribution to more thanone congressional office. 

This memorandum provides an analysis of the effect of the Supreme Court’sdecision in National Federation of Independent Business v. Sebelius onthe Medicaid expansion in the Affordable Care Act (ACA). First, we providea summary of the Court’s decision regarding the constitutionality of the ACA Medicaidexpansion. Then, using the framework of the Court’s decision, which limited theability of the federal government to withhold all federal Medicaidmatching funds unless states comply with the ACA Medicaid expansionrequirements, we address selected questions regarding implementation of the Medicaidexpansion provision.


Date of Report: July 16, 2012
Number of Pages: 11
Order Number: M-071612-B
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