If federal government cuts Medicaid expansion dollars, West Virginia bill could slice state's share

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If federal officials cut the amount West Virginia is reimbursed for the healthcare expenses of its Medicaid expansion population, delegates are preparing a refusal to fill the gap. On the line is about $160 million in West Virginia dollars.

Also on the line is the health insurance for about 165,000 West Virginians.

Medicaid is a joint federal and state program for health insurance and medical services, traditionally for low-income people but more recently also for the working class.

The 2010 Affordable Care Act encouraged states to expand Medicaid to cover more low-income Americans lacking employer-provided insurance. Forty states participated, insuring about 21 million people since 2014 and reducing the national uninsured rate. The federal government covers 90% of the expansion cost, significantly more than the average reimbursement rate for other Medicaid beneficiaries.

Read more at: https://wvmetronews.com/2025/03/28/if-federal-government-cuts-medicaid-expansion-dollars-west-virginia-bill-could-slice-states-share/