Uncertainty, Legislative Politics Have Slowed State Implementation

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Andy Allison, president of the National Association of Medicaid Directors, shares some sobering news about expanding coverage to the uninsured if the Supreme Court strikes down the health law.

This interview is part of KHN's video series Supreme Uncertainty: What's Next After The Court Rules, which solicits views from public officials and policy experts about the upcoming Supreme Court ruling on the health law and its implications for the future of health care. KHN's Mary Agnes Carey talks to Andy Allison, Arkansas Medicaid director and president of the National Association of Medicaid Directors, who is adamant that cash-strapped states won't be able to do much to expand coverage to the uninsured if the Supreme Court strikes down the law. States are expected to add 16 million people to Medicaid, but that's mostly because the federal government would pick up nearly all the cost. Allison said, "I'm not sure where those individuals will end up now, with money so tight" in the states.

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