The Bottom Line: Medicaid Expansion a Fiscal Winner for Nebraska

Evidence shows that states that have expanded Medicaid have witnessed substantially faster growth in healthcare jobs than states that have not expanded.
According to a report from Dr. Allan Jenkins and Dr. Ron Konecny of the University of Nebraska at Kearney, expanding Medicaid in Nebraska would support 10,779 jobs in Nebraska in FY 2019-20. This is crucial in lower income areas, including rural Nebraska, where Medicaid expansion would have a larger effect and where jobs, particularly well-paying healthcare jobs, are needed.
The UNK Report definitively settles one of the major opposition points to Medicaid expansion, namely that it would cost the state too much in General Fund expenditures, particularly when the federal cost share for expansion declines to 90 percent in 2020 and thereafter.
Medicaid expansion in Nebraska would bring about $69.3 million in General Fund savings for the five year period in programs already funded through the state’s General Fund, which would no longer be necessary if Medicaid were expanded.
The UNK report contains a solid and rigorous benefit-cost analysis, showing the multiple benefits to Nebraska’s economy, its communities, and to individuals and families. Nebraska taxpayers have already watched half a billion dollars of federal support for Medicaid expansion slip away because of the Unicameral’s inaction. For the sake of over 77,000 Nebraskans who fall into the Medicaid Gap, and for all Nebraska taxpayers, policymakers must act on expanding the state’s Medicaid program.
The bottom line… Medicaid expansion is a fiscal winner in Nebraska.

See our report The Bottom Line: Medicaid Expansion in Nebraska at