Changes

=== Medicaid ===

=== Medicaid ===

Obamacare expands [[Medicaid]] (medical care for the poor) to everyone (under the Medicare age of 65) who has income less than 133% the federal poverty level.  States must pay this enormous new burden, but federal government promises to reimburse costs of newly eligible patients under this program from 2014 to 2016. Although the law was drafted to make this a required part of the existing Medicare program, the Supreme Court considered an appeal from certain states and interpreted the law as giving each state the option to either retain the prior scope of Medicaid or expand Medicaid.  If a state refuses to expand Medicaid, the taxes collected from that state will be redirected to states that have expanded Medicaid, and hospitals will still be required to provide medical care to the uncovered individuals without reimbursement.

Obamacare expands [[Medicaid]] (medical care for the poor) to everyone (under the Medicare age of 65) who has income less than 133% the federal poverty level.  States must pay this enormous new burden, but federal government promises to reimburse 100% of costs of newly eligible patients under this program from 2014 to 2016, and then 90%. Although the law was drafted to make this a required part of the existing Medicare program, the Supreme Court considered an appeal from certain states and interpreted the law as giving each state the option to either retain the prior scope of Medicaid or expand Medicaid.  If a state refuses to expand Medicaid, the taxes collected from that state will be redirected to states that have expanded Medicaid, and hospitals will still be required to provide medical care to the uncovered individuals without reimbursement.

On April 10, 2014, Secretary of Health and Human Services Sebelius acknowledged there are extensive backlogs of people in some states who have applied for Medicaid but remain unable to access care because of out-of-date state computer systems. In April 2014, the government said three million people had enrolled in Medicaid from October 1 through February 28.<ref name=Sebelius>{{cite news|url=http://www.reuters.com/article/2014/04/10/us-usa-healthcare-obama-idUSBREA3918920140410|title=Obamacare enrollment to surpass 7.5 million: U.S. official|first=David|last=Morgan|date=April 10, 2014|accessdate=April 11, 2014|work=Reuters}}</ref>

On April 10, 2014, Secretary of Health and Human Services Sebelius acknowledged there are extensive backlogs of people in some states who have applied for Medicaid but remain unable to access care because of out-of-date state computer systems. In April 2014, the government said three million people had enrolled in Medicaid from October 1 through February 28.<ref name=Sebelius>{{cite news|url=http://www.reuters.com/article/2014/04/10/us-usa-healthcare-obama-idUSBREA3918920140410|title=Obamacare enrollment to surpass 7.5 million: U.S. official|first=David|last=Morgan|date=April 10, 2014|accessdate=April 11, 2014|work=Reuters}}</ref>