what is to stop big blue states such as Illinois, New York, and California

[dsc]

from having their medicaid expand to cover the uninsured in other states for the three years that the feds are paying the whole freight? Surely if a citizen of say, California is traveling to see his family in say Texas and gets ill then Medical would pay for emergency treatment. This would simply expand that.

[AngryAmish]

1. nothing

I, as a resident of Illinois, who is two years behind in Medicaide bills since we have no money, demand that we take on the indigent healthcare of Indiana, Wisconsin and Michigan, since it is the right thing to do. It is my obligation because I said so.

[dsc]

2. I am not saying the usual medicaid

which states do pay some of the cost of, but the expansion which is entirely federally funded for the next two years.

[SheilaT]

3. Medicaid is administered by the states, individually.

No state has a responsibility for the medical benefits of people in another state.

In other words, each state decides what and how much it's going to do with their Medicaid, and one state isn't going to cover, another state's residents.

[dsc]

4. under normal circumstances, no they wouldn't

but say Andrew Cuomo or Marin O Malley want to make a huge impression on the primary electorate, that would make a huge impression on the primary electorate.

[SheilaT]

5. I honestly don't know much about Medicaid,

but I rather doubt one state could use its Medicaid funds to pay for the health care of those from another state. And it's not as though Medicaid covers everyone who deserves it in the first place.

Plus, as a practical consideration, how would New York, in your example, figure out which citizens from which states to cover? Would they need to be treated in NYS?

[moriah]

6. I'd rather see states like AR who expanded Medicaid improve the infrastructure.

The healthy poor uninsured got insurance policies through the Exchange, the sick ones got regular Medicaid. However, it's nearly impossible to find a doctor accepting new adult Medicaid patients in many counties in Arkansas. A friend of mine has coverage, but she's limited to ER visits for emergencies until she can find a PCP in her county. She called them all on the list.