Republican States Look to Customize Medicaid Expansion, Not Eliminate It

As candidates two years ago, the Republican governors of Kentucky and Arkansas swore they would do away with “Obamacare” if elected. But a funny thing happened between the campaign trail and the governor’s mansion: Reality set in.  After promising to uproot Kentucky’s Medicaid expansion under the Affordable Care Act, Republican Gov. Matt Bevin simply renamed his Democratic predecessor’s health care plan for low-income adults and proposed changes designed to help people find jobs and get off the rolls. In Arkansas, Republican Gov. Asa Hutchinson changed the name of the Medicaid expansion program and proposed adding small premiums for people with incomes above the federal poverty line, $11,880 for an individual. As Congress prepares to repeal and replace the Affordable Care Act, 14 other states with GOP governors that opted to expand Medicaid under the law may face the same reality Bevin and Hutchinson did: Taking health insurance away from hundreds of thousands of people is a complicated and risky proposition.