On April 23, the National Association of State Medicaid Directors released a draft analysis of the impact of the national health care reform legislation on Medicaid and the State Childrens' Health Insurance Program (SCHIP).  The analysis explains the impact of specific provisions of both the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 on Medicaid and SCHIP.

From the report: States are not permitted to have eligibility standards, methodologies, or procedures under the Medicaid State plan or through any waiver that are more restrictive than the eligibility standards, methodologies, or procedures, respectively, under the plan or waiver in effect on the date of enactment. The maintenance of eligibility lasts until the establishment of the exchanges for adults, or until October 1, 2019 for children. Between January 1, 2011 and December 31, 2013, states that have expanded coverage to non-pregnant, nondisabled adults above 133% FPL can reduce the FPL to 133% if they certify that the state is experiencing a budget deficit. States can also transition individuals from waivers to the state plan, or can expand coverage, during the period when the “maintenance of eligibility” is in effect.

Full report:  Summary of Provisions Affecting Medicaid and SCHIP in the Patient Protection and Affordable Care Act (P.L. 111-148) as Amended by the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152) (PDF | 730.51 KB)

National Association of State Medicaid Directors.  (2010).  Summary of provisions affecting Medicaid and SCHIP in the Patient Protection and Affordable Care Act (P.L. 111-148) as amended by the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152).