Medicaid and Counties

Medicaid and Counties: Understanding the program and why it matters to counties

As Congress considers changes to the nation’s health care system, NACo urges them to consider implications of reforms that would merely shift costs to counties. Counties’ stand ready to work with Congress to identify strategies to strengthen our nation’s health system and provide high-quality coverage and access to care for all of their residents while being responsible stewards of local taxpayer dollars

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Medicaid Coverage and County Jails

Congress should pass legislation to ease and/or undo the federal Medicaid inmate exclusion and require states to suspend, instead of terminate, Medicaid coverage for justiceinvolved individuals. Further, The U.S. Department of Health and Human Services (HHS) should exercise their existing authority to provide additional state flexibility in the Medicaid program to cover justice-involved individuals.

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