In a January 27, 2015 press release, the Centers for Medicare and Medicaid Services (CMS) announced approval of most of an ACA Medicaid expansion proposal called the Healthy Indiana Plan.  Here are highlights of approved elements:

  • Begins February 1, 2015, funded 100% by HHS through 2016, the federal share to decline thereafter;
  • Beneficiary contributions to “POWER” accounts may be used to pay for some health care expenses and if contributions are required, cost sharing will be required only for emergency room services (some subject to an $8 copay for the first ER visit, $25 for the second);
  • Base and enhanced coverages will include all ACA Essential Health Benefits;
  • No essential benefits premium default lock-out for those under 100% of the FPL.

The agreement forbids work requirements, enrollment caps, premium requirements for those under 100% of FPL and premium payments exceeding 2% of income.  The eligible expansion population is estimated to number about 350,000.