The Medicaid Program has extended help to millions of families across America. Medicaid also plays a key role in the long-term care planning of many seniors. It has made lives healthier and kept families together for longer periods. You really cannot deny its influence. So, when did it all begin? Read this post to learn more about Medicaid and its history, from its inception to its current role in saving lives.
Exploring the History of the Medicaid Program
The Beginning During the 1960s
Medicaid came into existence when President Lyndon B. Johnson signed the Social Security Amendment on July 30, 1965. With the law’s passage, the government established Medicare and Medicaid. Medicare focuses on healthcare for senior adults 65 and older. On the other hand, Medicaid provides health insurance to low-income individuals and families. Medicaid is a joint federal-state program. Rather than setting strict rules, the federal government has Medicaid guidelines the states follow. That allows states to craft their own rules and coverage based on the specific circumstances of their residents.
Expanding During the 1970s
The 1970s marked a turning point for Medicaid. It underwent a significant expansion, making its services more inclusive and accessible. In Florida, Medicaid initially catered to those already receiving cash assistance. However, as time progressed, the program broadened its reach to include other vulnerable groups. These included pregnant women, people with disabilities, and older people. This expansion made Medicaid a more comprehensive and inclusive safety net for healthcare for those in need.
Later Developments From the 1980s to 2000s
Starting in the 1980s, some states (including Florida) implemented Medicaid-managed care organizations. That is different from the usual arrangement, where the state pays for each type of service. Instead, individuals who qualify for Medicaid coverage have access to healthcare plans, and the state pays their premiums. These managed care organizations are responsible for coordinating and providing healthcare services to Medicaid beneficiaries. The federal government has established rules to standardize the managed care system across states. However, states still retain the power to determine the availability of services, eligibility, coverage, and other aspects.
2010 The Affordable Care Act
In March 2010, President Obama signed the Patient Protection and Affordable Care Act into law. The passing of this law brought significant changes in the implementation and coverage of Medicaid. One of the most notable changes was the expansion of Medicaid eligibility to include more low-income individuals and families. This move significantly increased the number of people covered by the program.
A later Supreme Court ruling made the expansion of Medicaid dependent on the states. Several states, including Florida, chose not to expand Medicaid under the Affordable Care Act.
2023 to Present
In April 2023, following the COVID-19 pandemic, Florida underwent an “unwinding process” to review Medicaid recipients and determine their eligibility. Until now, the Medicaid landscape has continued to evolve, but the goal remains the same. And it is to provide quality healthcare to those in need.
Do you need help with Medicaid planning? The Scott Law Offices can help you understand coverage and eligibility. Our team can also assist with asset protection strategies. Reach out now for assistance with asset protection and eligibility concerns.
