The future of Group VIII (expansion) Medicaid coverage in Ohio

From our partners at the Health Policy Institute of Ohio (HPIO)...

In 2014, when Ohio expanded Medicaid eligibility under the federal Affordable Care Act to adults earning less than 138% of the federal poverty level (FPL), the federal government funded 100% of the expansion population (also known as Group VIII). The reimbursement rate was gradually reduced between 2016 and 2020 to its current 90%-10% split between the federal and state government.

As the U.S. Congress deliberates plans to reduce federal spending, including proposals to drastically cut funding for Medicaid, Gov. Mike DeWine included in his state budget proposal a provision that if the federal share of Medicaid funding is reduced, the Ohio Department of Medicaid “shall immediately discontinue all medical assistance for members of the [Medicaid expansion] group.”

This publication provides data and information on the current status of Medicaid expansion in Ohio and includes a series of policy considerations for state and federal leaders to consider.

More Medicaid Resources

In the coming weeks, HPIO plans to release additional resources to assist policymakers who are evaluating options related to Medicaid coverage in Ohio. The Institute also recently released the latest edition of its biennial Ohio Medicaid Basics, which provides an overview of the Ohio Medicaid program, including eligibility, covered services, spending and recent policy changes.

Facts and Figures

Use HPIO graphics and data in your work or share them on your social media accounts. To use the data graphics in your presentations, click here to access the slides on Google Drive, click “File” and then “Download.” This will allow the option to download individual slides or the full deck into PowerPoint slides, a jpg, pdf or other available media files. For more Medicaid-related content, see HPIO's Medicaid Basics Facts & Figures.

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