One outcome of the Supreme Court's June 2012 health care ruling is that the federal government cannot force states to expand Medicaid. And yet, as of last week, 24 states have volunteered to do so.
What is driving some states to expand a program that is a perennial source of budgetary pressure? In a new paper, Mercatus Center scholar and Social Security/Medicare Trustee Charles Blahous analyzes the factors facing state officials. These include budgetary circumstances, the structure of the Medicaid program and how it is affected by the provisions of the Affordable Care Act (ACA), and other subjective judgements at work.