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Has Medicaid expansion in states improved health outcomes?

Protestors call for health care beneifts

People demonstrate in support of health care in 2017 in Montana, which expanded Medicaid under the Affordable Care Act.

William Campbell-Corbis via Getty Images

This fact brief was originally published by EconoFact. Read the original here. Fact briefs are published by newsrooms in the Gigafact network, and republished by The Fulcrum. Visit Gigafact to learn more.

Has Medicaid expansion in states improved health outcomes?

Yes.

Studies have shown that Medicaid expansion in states does lead to improved health outcomes.


The Patient Protection and Affordable Care Act (ACA) sought to reduce the number of uninsured Americans through federal government subsidies of Medicaid coverage expansion. This Medicaid expansion was made optional to states, and as of May 2024 there were 10 U.S. states that had not yet implemented it. A study comparing outcomes of expansion vs. non-expansion states found a significant reduction in mortality in states that expanded Medicaid.

Individuals aged 55 to 64 with either less than a high school degree or income under the threshold (138 percent of the federal poverty level) experienced a 9.4 percent drop in mortality after expansion as compared to non-expansion states. Furthermore, research on states that already expanded Medicaid found no clear change in overall spending from state funds due to offsetting savings in health care costs.

This fact brief is responsive to conversations such as this one.

Sources

KFF Status of State Medicaid Expansion Decisions: Interactive Map

EconoFact Impact of Medicaid Expansion on State Budgets and Mortality

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Project 2025: A federal Parents' Bill of Rights

Republican House members hold a press event to highlight the introduction in 2023.

Bill O'Leary/The Washington Post via Getty Images

Project 2025: A federal Parents' Bill of Rights

Biffle is a podcast host and contributor at BillTrack50.

This is part of a series offering a nonpartisan counter to Project 2025, a conservative guideline to reforming government and policymaking during the first 180 days of a second Trump administration. The Fulcrum's cross partisan analysis of Project 2025 relies on unbiased critical thinking, reexamines outdated assumptions, and uses reason, scientific evidence, and data in analyzing and critiquing Project 2025.

Project 2025, the conservative Heritage Foundation’s blueprint for a second Trump administration, includes an outline for a Parents' Bill of Rights, cementing parental considerations as a “top tier” right.

The proposal calls for passing legislation to ensure families have a "fair hearing in court when the federal government enforces policies that undermine their rights to raise, educate, and care for their children." Further, “the law would require the government to satisfy ‘strict scrutiny’ — the highest standard of judicial review — when the government infringes parental rights.”

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Jakub Porzycki/NurPhoto via Getty Images

How Congress can quickly make Ozempic, Wegovy affordable

Pearl, the author of “ChatGPT, MD,” teaches at both the Stanford University School of Medicine and the Stanford Graduate School of Business. He is a former CEO of The Permanente Medical Group.

A whopping one in eight U.S. adults have taken GLP-1 drugs like Wegovy and Ozempic for weight loss and related conditions. Their popularity and efficacy have sparked a prescription-writing frenzy in recent years, leaving both medications on the Food and Drug Administration's drug shortage list since May 2023.

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The author, Miliyon Ethiopis, following a court’s decision to grant his asylum request on June 18.

U.S. immigration court ruling on statelessness could have wide impact

Ethiopis is a co-founder of United Stateless, a national organization led by stateless people.

I feel like I have been born again, after a U.S. immigration court made a remarkable ruling in my “statelessness” case in June. I hope that my case will have significant, broader implications for other stateless people in America.

Being stateless means no country will claim you as a citizen. We don't belong anywhere. Stateless people are military veterans. We are Harvard graduates. We are Holocaust survivors. There are millions of stateless people around the world, and 200,000 such people in the United States.

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Andriy Onufriyenko/Getty Images

Have prices increased 40 percent to 50 percent since Trump left office?

This fact brief was originally published by Wisconsin Watch. Read the original here. Fact briefs are published by newsrooms in the Gigafact network, and republished by The Fulcrum. Visit Gigafact to learn more.

Have prices increased 40 percent to 50 percent since Trump left office?

No.

Cumulative inflation since former President Donald Trump left office in January 2021 through May 2024 was 20.1 percent according to data from the Federal Reserve’s Consumer Price Index for All Urban Consumers, or CPI-U.

Trump told a crowd on June 18 in Racine, Wis., that "real inflation" is more than twice that.

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Girl in a Christian school

Half the students benefiting from ESAs never attended public school — they were always privately educated.

Jonathan Kirn

Project 2025: Education savings accounts

Rogers is the “data wrangler” at BillTrack50. He previously worked on policy in several government departments.

This is part of a series offering a nonpartisan counter to Project 2025, a conservative guideline to reforming government and policymaking during the first 180 days of a second Trump administration. The Fulcrum's cross partisan analysis of Project 2025 relies on unbiased critical thinking, reexamines outdated assumptions, and uses reason, scientific evidence, and data in analyzing and critiquing Project 2025.

The “Mandate for Leadership: The Conservative Promise," the Heritage Foundation’s guide for a second Trump administration is more commonly known as Project 2025. One section outlines an ambitious plan to expand education savings accounts, which allow parents to decide how to spend some of the public money allocated to their children’s education, across the United States. It recommends creating a model for ESAs by allowing their use by students in active-duty military families, those studying in D.C., and students attending schools on tribal lands.

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