So what really would happen if states opt out of Medicaid expansion? Who loses? Sarah Kliff of the Washington Post has produced a telling graphic that plainly shows that the "losers" would be the poorest of the American population. If governors opt their states out of the health law’s Medicaid expansion — as many are now threatening to do— it’s the poorest Americans who would find themselves getting the rawest deal.
This set of charts helps explain why: Parents who earn less than 100 percent of the Federal Poverty Line (about $11,170 for an individual) are ineligible for tax credits to purchase health insurance. In a state like Arkansas, for example, that could be a big deal:
(click on graphic to enlarge)
Bottom line? If you think Medicaid is the ultimate universal safety net for families who have children with serious emotional challenges, think again.