Medicaid Timeline
The history of Medicaid
Medicaid began as part of the Social Security Act of 1965. The original law gave states the option of receiving federal funding to help provide health care coverage to children whose families have a low income, their caregiver relatives, people who are blind and people who are disabled. Throughout time, the federal government has strengthened and expanded the rules and requirements for states administering Medicaid. Through Medicaid expansion some states now extend coverage to other low-income adults.
Medicaid is established and provides states with the option of receiving federal funding for providing health care services to certain groups.
Medicaid is established and provides states with the option of receiving federal funding for providing health care services to certain groups.
Medicaid eligibility for the elderly and people with disabilities was linked to the eligibility for the newly enacted Federal Supplement Security Income (SSI) program.
Medicaid eligibility for the elderly and people with disabilities was linked to eligibility for the newly enacted Federal Supplement Security Income (SSI) program.
Home- and Community- Based Services (HCBS) waivers were established.
Home- and Community- Based Services (HCBS) waivers were established.
Medicaid coverage for pregnant women and infants (up to 1 year of age) up to 100% of the Federal Poverty Level (FPL) was established as a state option.
Medicaid coverage for pregnant women and infants (up to 1 year of age) up to 100% of the Federal Poverty Level (FPL) was established as a state option.
Medicaid coverage of pregnant women and children (under age 6) up to 133% of the Federal Poverty Level was mandated; expanded EPSDT requirements were established.
Medicaid coverage of pregnant women and children (under age 6) up to 133% of the Federal Poverty Level was mandated; expanded EPSDT requirements were established.
Federal Medicaid rules required coverage for children ages 6-8 in families under 100% of the FPL. The rules also created the prescription drug rebate program.
Federal Medicaid rules required coverage for children ages 6-8 in families under 100% of the FPL. The rules also created the prescription drug rebate program.
Temporay Assistance to Needy Families (TANF) replaced a program that linked Medicaid enrollment/termination with the receipt of Welfare cash assistance.
Temporay Assistance to Needy Families (TANF) replaced a program that linked Medicaid enrollment/termination with the receipt of Welfare cash assistance.
The Balance Budget Act of 1997 created the State Children's Health Insurance Program (SCHIP).
The Balance Budget Act of 1997 created the State Children's Health Insurance Program (SCHIP).
The Ticket to Work Incentives Improvements Act allowed states to cover working people with disabilities up to 250% FPL and charge income-based premiums.
The Ticket to Work Incentives Improvements Act allowed states to cover working people with disabilities up to 250% FPL and charge income-based premiums.
The Supreme Court ruled on a case that established expanded civil rights for people with disabilities. They determined that people with disabilities have a qualified right to receive state funded supports and services in the community rather than in nursing homes or other formal settings.
The Supreme Court ruled on a case that established expanded civil rights for people with disabilities. They determined that people with disabilities have a qualified right to receive state funded supports and services in the community rather than in nursing homes or other formal settings.
The Affordable Care Act was signed, providing states with the option to expand Medicaid to adults who earn up to 138% of the FPL.
The Affordable Care Act was signed, providing states with the option to expand Medicaid to adults who earn up to 138% of the FPL.
As of February, 2019, 72,232,316 individuals are currently enrolled in Medicaid and CHIP.
As of February, 2019, 72,232,316 individuals are enrolled in Medicaid and CHIP.
