At the beginning of the COVID-19 pandemic, Congress enacted legislation that provided states with enhanced federal funding if they maintained coverage for most individuals receiving Medicaid. The Consolidated Appropriations Act (CAA) of 2023 ended the continuous coverage provision and established requirements for states to receive an enhanced match during the remainder of 2023.
This session provided a review of the CAA provisions as well as the subsequent CMS guidance that described additional policy and operational instructions to states. MACPAC conducted interviews with a number of national organizations representing state and beneficiary interests to identify potential implementation issues.