Indiana Governor Mike Pence’s new plan to provide health coverage for more of the state’s low-income residents is another sign that few if any of the states holding out on Obamacare’s Medicaid expansion will do it in the way the law envisioned. The proposal also will test the Obama administration’s appetite to meet its coverage goals against its reticence to approve policies, such as cost-sharing requirements, favored by some conservatives.
Not counting Indiana, 23 states have yet to move forward with some form of expansion. Like several other Republican-led states, Indiana plans to apply for a waiver that will allow it to use federal Medicaid expansion funds to purchase coverage for adults earning up to 138% of the federal poverty level.
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