While the focus of debate regarding repeal of the Affordable Care Act (ACA) has been on Marketplaces and the Medicaid expansion, a myriad of other provisions of the ACA are at risk of repeal—including those that streamline Medicaid eligibility and enrollment systems and implement a national, simplified standard for income eligibility. In a new issue brief for the Robert Wood Johnson Foundation State Health Reform Assistance Network, Manatt Health addresses key questions regarding the future of the ACA’s streamlined eligibility and enrollment-related provisions and the system improvements states have invested in to implement them:

• What Medicaid eligibility and enrollment simplification provisions are at risk of repeal?
• Are repeal proposals likely to eliminate the ACA eligibility and enrollment streamlining requirements?
• How likely is it that modified adjusted gross income (MAGI) would be repealed?
• What would it mean for states if MAGI rules are repealed?
• What are the unique ACA repeal considerations for Medicaid eligibility and enrollment operations in states that have state based marketplaces?
• What are the unique ACA repeal considerations for Medicaid eligibility and enrollment operations in states that rely on the federally-facilitated marketplaces (FFM) eligibility and enrollment platform (FFM, state-based marketplace-federal platform state)?
• Will states be able to continue to access 90/10 matching funds for modifications or upgrades to their Medicaid eligibility and enrollment systems?