Implications of the Supreme Court's ACA Medicaid Decision

U.S. Const. art. I, § 8, cl.1; see Social Security Act Amendments of 1965, Title XIX, Pub. L. No. 89-97, § 121, 79 Stat. 286, 343-52 (1965).

Pub. L. No. 111-148, § 2001(a)(1), 124 Stat. 119 (March 23, 2010) (adding 42 U.S.C. § 1396a(a)(10)(A)(i)(VIII)). Initially, state coverage of the expansion group will be entirely federally funded; when state participation in funding is fully phased in by 2020, states will be responsible for 10% of the costs. See 42 U.S.C. § 1396d(y).

132 S. Ct. 2566 (2012).

Id., at 2630 (2012) (Ginsburg, J., dissenting) (emphasis is original).

430 U.S. 188, 193 (1977) (citation and internal quotation omitted).

132 S. Ct. at 2604.

Id., at 2603.

Id., at 2604.

Id. (citing Dole, 483 U.S. 203 (1987)).

132 S. Ct. at 2604.

Id. (citing Dole, 483 U.S. at 211).

Id., at 2605–06 (citing 42 U.S.C. § 1396a(a)(10)).

Id.

Id., at 2606 (citing Pennhurst State Sch. & Hosp. v. Halderman, 451 U.S. 1, 17 (1981)).

Id.

Id., at 2604–05 (citing 42 U.S.C. § 1396c); see also id., at 2604 (noting that states have developed “intricate statutory and regulatory regimes” over many decades to implement the existing Medicaid program).

Id., at 2606.

Id., at 2607 (citing 42 U.S.C. § 1303). Explicitly, the decision did not “affect the continued application of § 1396c to the existing Medicaid program.” Id.

For a detailed criticism of the opinion, see 132 S. Ct. at 2628–41 (Ginsburg, J., dissenting).

See 42 U.S.C. § 1396d(y)(1).

See 42 U.S.C. § 1396a(a)(13)(C) (primary care rate parity); id. at § 1396a(a)(10)(A)(i)(IX) (former foster coverage) (eff. Jan. 1, 2014); Id., at § 1396a(gg)(1) (maintenance of effort (MOE) requirement for recipients who are not children). The Governor of Maine's challenge the MOE requirement was summarily denied by the First Circuit. See Mayhew v. Sebelius, No. 12-2059 (1st Cir. filed Sept. 13, 2012).