A 50-state study of trends and drivers of cost

Medicaid is the largest health insurance program in the United States, covering both acute and long-term care services for over 66 million low-income Americans—children and their parents, as well as elderly and disabled individuals.1 This report focuses on the impact of Medicaid on the states, including trends in spending and enrollment, and the anticipated effects of the Affordable Care Act. 1 Kaiser Commission on Medicaid and the Uninsured, Medicaid: A Primer—Key Information on the Nation's Health Coverage Program for Low-Income People (Washington: Kaiser Family Foundation, 2013), accessed Feb. 12, 2014, http://kaiserfamilyfoundation.files.wordpress.com/2010/06/7334-05.pdf.