What exactly does it mean when U hear about states choosing not to expand Medicaid under ObamaCare? How could moving to another state help?

i.e. Bob lives in TX and Sue lives in N.M. so how could Sue benefit in ways Bob never will until Bob moves to N.M.? Why is this?

Other answer:

Mr M:
As part of the Affordable Care Act some state expanded welfare (Medicaid) to those who made less than 138% of the Federal Poverty Level.

As already noted, the Federal Government chose to pick up part of the extra cost for a short period of time. However, it doesn't really matter of the Fed or the State picks up the extra cost because it all comes from your taxes anyway and in a couple of years the Fed will cut the payment and leave it all to the state.

One of the bad things about this is there are people who live in million dollar homes who now qualify for welfare because the law did not place an asset test for qualification.

Some states decided not to expand welfare to able bodied people.

Uncle Pennybags:
So under ObamaCare, there was a provision that the Federal government would pick up 90% of the costs if a state expanded the number of people eligible for Medicaid. Most states took this offer, some Conservative states didn't.

If you are poor and not eligible for Medicaid because your state didn't take advantage of that offer, then moving to another state that did might help.

lucy:
Put simply, prior to the passing of the ACA, in "most" states, once you became age 18 to 21, no longer was eligible for Medicaid. The theory being that an adult, should be able to be working and pay for their own health insurance.

So, when some states expanded Medicaid, then poor people of (any) age would be eligible.

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Bob:
It means they did not expand the eligibility for Medicare in their state.
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