Photo: Getty Images

The Obama administration is not giving up on its goal to expand Medicaid services in all 50 states. Its latest ploy: Convince the mostly Republican governors of those states that expansion will save billions in downstream treatment for substance abusers.

The U.S. Department of Health and Human Services unveiled a report Monday stating that nearly 2 million uninsured people in the 20 non-expansion states suffer from mental illness or substance abuse. That’s nearly a third of the uninsured low-income residents of those states. And these states’ refusal to expand Medicaid as permitted under the Patient Protection and Affordable Care Act (PPACA) will leave 4 million people uninsured this year.

Complete your profile to continue reading and get FREE access to, part of your ALM digital membership.

Your access to unlimited content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and events.
  • Access to other award-winning ALM websites including and

Already have an account?

Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.

More from this author



Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join now!

  • Unlimited access to - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including and
  • Exclusive discounts on and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.