States expanding Medicaid expect 18% enrollment growth in 2015

The 23 states that have not expanded Medicaid are expected to experience 5.2 percent enrollment growth for fiscal year 2015, which is minimal compared to the 18 percent increase in enrollment projected for expansion states, according to a survey by the Kaiser Family Foundation's Commission on Medicaid and the Uninsured.

In the 27 states and the District of Columbia, where Medicaid has been expanded, Medicaid spending is expected to increase 18.3 percent, with state spending only increasing by 4.4 percent. The additional federal funds available to expansion states result in significant differences between total spending and state spending growth.  

However, without the enhanced federal funds, state spending is projected to increase 6.8 percent in the 23 non-expansion states, with total and state spending on Medicaid growing at similar rates.

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