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How will the Supreme Court Decision affect CMS's ability to ensure other aspects of the

As previously stated in a letter from the Secretary to the nation's governors, the Supreme Court held that a state may not lose federal funding for its existing Medicaid program if the state chooses not to participate in the expansion of Medicaid eligibility for low-income adults. The Court's decision did not affect other provisions of the law. State Medicaid and CHIP programs will need to coordinate with the Federally-facilitated Exchange, regardless of a state's decision to proceed with expansion. States will need to be part of the seamless system for people to apply for all coverage programs; and will need to coordinate eligibility with the new insurance affordability programs. These provisions have relevance regardless of whether a state chooses to participate in the expansion for low-income adults.

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Date
FAQ ID
93246
FAQ Question
How will the Supreme Court Decision affect CMS's ability to ensure other aspects of the law such as those affecting interactions with the Federally-facilitated Exchange? For example, if a state does not want to exchange electronic accounts with the FFE, what will be required and what, if any, penalties could be imposed?