New data suggests that those who have joined the Medicaid rollsas a result of the Patient Protection and Affordable CareAct are not costing the federal government as much asthose who were previously enrolled.

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But it also suggests that the budgetary impacts of increasedMedicaid differs dramatically betweenstates.

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According to an analysis of federal figures by the Kaiser Family Foundation, new adult Medicaidenrollees only account for 10 percent of Medicaid spending acrossthe country, even though the group makes up 13 percent of the totalpopulation covered by Medicaid.

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The more useful figure, however, may be the 16 percent share ofspending that the new group accounted for in states that actuallyexpanded Medicaid to individuals andfamilies with incomes up to 138 percent of the federal povertylevel.

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Twelve percent of that spending is going to cover those who arenewly-eligible for Medicaid, while 4 percent is financingadditional enrollees who were previously eligible under the oldrules but whose state-financed coverage is now reimbursed at ahigher rate by the federal government than before.

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The average cost of each new enrollee in 2014 was $4,513,dramatically lower than the average of $7,150 that states spent onMedicaid recipients in all groups.

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But some states saw spending increase drastically with theadditional Medicaid enrollment.

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Leading the pack was Washington state, where new enrolleesaccounted for 31 percent of the state’s Medicaid spending.

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In second and third places were Oregon and Kentucky, which spent29 percent and 25 percent, respectively, of their Medicaid funds onnew enrollees.

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New Hampshire saw the smallest budgetary impact, with newenrollees only accounting for 3 percent of the Granite State’sMedicaid spending. At 7 percent, Illinois was the only other statewhere the new group made up less than a tenth of Medicaiddollars.

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The vast majority of the new spending is ultimately paid for bythe federal government--94 percent, according to Kaiser. Althoughsome of the costs will shift to the states in the coming years,PPACA committed the feds to picking up at least 90 percent of thetab of Medicaid expansion from 2020 on.

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