On Tuesday, Indiana Gov. Mike Pence (R) announced that his state will accept the Affordable Care Act's expansion of Medicaid, after gaining some concessions from the Obama administration. Under the deal, all new Medicaid enrollees will have to pay for part of their monthly premium, from $1 to $26 for single adults, depending on income, and they'll lose coverage for six months if they fall behind. Beneficiaries who inappropriately overuse the emergency room will also face copays of up to $25.
The Indiana waivers are "the latest example of how the GOP is trying to broaden its reach by appealing to lower earners," as well as "a growing willingness by the Obama administration to cut deals with states in order to expand insurance coverage under the 2010 health law after the Supreme Court hampered that effort," The Wall Street Journal explains. The deal could pave the way for a handful of on-the-fence GOP-led states to expand Medicaid, too — and prompt states that already adopted the ObamaCare expansion to seek similar waivers.