Virginia Expands Medicaid

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Virginia Expands Medicaid


A key part of the Affordable Care Act – or Obamacare – is an expansion of Medicaid. This joint state and federal program provides health care coverage for low- and lower-income Americans. Eight years after Obamacare’s passage, Virginia is moving to take advantage of this Medicaid expansion. Critics worry that this move may prove to be a burden on the commonwealth’s taxpayers.


Governor Ralph Northam came into office this year supporting the expansion of Medicaid under the Affordable Care Act. This would mean allowing access to the program for childless adults who live in households earning up to 139% of the federal poverty level. Virginians in this population currently do not have access to Medicaid at any income level.


In February, the state House of Delegates passed a budget bill that contained Medicaid expansion. Other bills during the regular budget session on this issue did not advance, although there was some support for an expansion bill that also contained a work requirement for Medicaid enrollees.


During a special budget session called by Governor Northam, state senators supported a bill that would allow the Medicaid expansion with work requirements. The requirement that some Medicaid recipients seek or obtain jobs was vital to obtaining enough Republican votes for passage. A work requirement must get approval by the federal government. The Trump Administration has allowed states to do this, while the Obama Administration turned down similar state requests.


Proponents of the Medicaid expansion say that it is needed to provide low-income Virginians with access to health care. They contend that with the federal government picking up 90% of the cost, Virginia is turning away significant federal dollars that will help the state’s economy. Opponents counter that the federal government may cover 90% of the cost now, but that this could change in the future. If that happens, they point out, Virginia will be facing a significant budgetary burden.


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