Now that the election is over, and we know that the Affordable Care Act is here to stay, Georgia must decide whether it intends to expand its Medicaid program. This summer, the United States Supreme Court upheld the Affordable Care Act as constitutional, but left open the possibility for states to opt out of expanding their Medicaid program.
Budget analysts predict that the cost of Medicaid expansion in Georgia will be $1.8 billion over the next ten years. That is a 4.1% increase in spending. Georgia currently has approximately $1.9 million uninsured citizens. Of those, about 700,000 would be eligible for Medicaid.
Georgia Governor Nathan Deal has opposed expansion, although he now seems to be weighing his options. Governor Deal has indicated that he would support a “block grant.” A block grant would allow the federal government to deposit a set amount of funds to Georgia for Medicaid coverage with no corresponding state contribution. Currently, there is no federal congressional authority for block grants. Governor Deal argues that the state cannot afford an expansion of the program and does not have the funds now or in the future. Currently, Georgia is running a deficit on Medicaid financing.