Medicaid • To expand or not to expand

A Utah study of the costs of expanding Medicaid looked at five scenarios. Each requires an up-front investment by the state. But expanding Medicaid will, over 10 years, save money. Not expanding or partially expanding, on the other hand, will cost money.
Cost to the state

No expansion
Even if Utah chooses not to expand Medicaid, the low-income health program will grow over the next 10 years by 60,202 children and adults who are currently eligible but have not enrolled.
$213 million

Full expansion
Expanding Medicaid up to 138 percent of federal poverty would, over 10 years, cover 123,586 adults.

Full expansion, partial benefits**
Expanding Medicaid up to 138 percent of poverty, but with pared-down benefits, would cover 123,586 adults by 2023.
$219 million

Savings to the state

State cost* Savings in state, county aid New state, county tax revenue TOTAL COST OR DIVIDEND

$260 million $188 million $36 million $203 million $131 million

$188 million $154 million $123 million

$177 million

Partial expansion, full benefits
Expanding Medicaid up to 100 percent of poverty with full benefits would cover 59,983 adults by 2023.

Partial expansion, partial benefits**
Expanding Medicaid up to 100 percent of poverty with pareddown benefits, would cover 59,983 adults by 2023.
$334 million

Sources: State of Utah Medicaid Assessment by Boston-based Public Consulting Group; and Congressional Research Service *The cost includes administrative and direct services costs. **Pared down, or partial, benefits are allowed under the Affordable Care, but only for certain populations.
Reported by Kirsten Stewart, graphic by Todd Adams | The Salt Lake Tribune

State cost* Savings in state, county aid New state, county tax revenue TOTAL COST OR SAVINGS

$403 million $76 million $73 million $255 million

$76 million $141 million $116 million

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