Deck 9: Medicaid: Designed to Grow

Question 1

Who did SCHIP focus on?

A)uninsured children in working families
B)pregnant women and infants
C)persons living with HIV/AIDS
D)the elderly, blind, and disabled

Answer 1

uninsured children in working families

Question 2

The attorneys general from twenty states jointly filed a lawsuit claiming the Affordable Care Act was unconstitutional. The U.S. Supreme Court ruled in part that the ____.

A)federally mandated Medicaid expansion was coercive
B)individual mandate was unconstitutional
C)federally mandated Medicaid expansion was optional
D)individual mandate was coercive

Answer 2

federally mandated Medicaid expansion was coercive

Question 3

Which statement is true regarding Medicaid coverage of long-term care?

A)State policy decisions account for 85% of spending on the aged.
B)Long-term care policymaking is an example of oppositional politics between Republicans and Democrats.
C)Few states use federal options (e.g., 300% of SSI)to expand access to long-term care for the elderly.
D)Optional spending on the disabled is more like spending on children than on the aged.

Answer 3

State policy decisions account for 85% of spending on the aged.

Question 4

Which statement is true regarding the use of home- and community-based services?

A)The vast majority of persons in need of long-term care services and covered by Medicaid reside in the community.
B)Home- and community-based services have led to significant Medicaid cost savings.
C)Most state governors avoid home- and community-based services because of their costs.
D)Home- and community-based services are provided mostly by family members paid with Medicaid vouchers.

Question 5

What percentage of Americans report some level of personal connection to Medicaid, either having received Medicaid coverage themselves or having a friend or family member who did?

A)51%
B)20%
C)31%
D)82%

Question 6

After the U.S. Supreme Court's 2012 decision regarding the Affordable Care Act, the Republican governors involved ____.

A)were immediately engaged in implementation
B)continued to engage in front-stage cooperation and back-stage fighting
C)refused to accept infrastructure planning grants from the federal government
D)appealed the U.S. Supreme Court's decision on grounds of unconstitutionality

Question 7

Most Medicaid expansions began ____.

A)as optional provisions where states could expand coverage to designated groups and receive federal matching funds
B)as federally mandated programs to cover those in need
C)in large part in response to state demand
D)as optional provisions where the federal government could expand coverage to those in need and receive state matching funds

Question 8

Which statement best reflects the author's thinking?

A)Democrats currently do not mobilize middle-class constituents around the Medicaid program.
B)Democrats usually speak openly in defense of Medicaid coverage for middle-income Americans.
C)In the future, Democrats should attempt to hide Medicaid's expansion to the middle class in hopes that hidden politics will allow for additional expansions.
D)Democrats believe that Medicaid should serve only the neediest Americans.

Question 9

The debates surrounding Medicaid block grant proposals are essentially about ____.

A)restricted welfare medicine versus an expanded middle-class entitlement
B)state flexibility under a capped amount versus open-ended federal matching funds
C)the Democratic preference for limited government
D)the Republican preference for favoring the middle class

Question 10

Under the Affordable Care Act, for the first time states have the option to ____.

A)cover all Americans living at less than 138% of the FPL
B)cover all children regardless of family income
C)make Medicaid coverage expansions separate from cash assistance
D)expand Medicaid to community-based services for individuals with mental illnesses

Question 11

What does the author state has been amazingly effective at expanding state Medicaid programs?

A)optional coverage
B)federal mandates
C)block grants
D)state-level political pressures

Question 12

The costs of long-term care in nursing homes are paid mostly by ____.

A)Medicaid
B)Medicare
C)the individual nursing home resident
D)the adult children of the individual nursing home resident

Question 13

Passage of the Supplemental Security Income program in 1972 created a federal Medicaid eligibility standard applicable to groups who tended to be viewed sympathetically, including ____.

A)the elderly, blind, and disabled
B)poor mothers and their children
C)the mentally ill
D)homeless adults

Question 14

Who has been remarkably effective in maintaining Medicaid payments for institutional care of the elderly and disabled?

A)the nursing home lobby
B)advocates for seniors
C)safety-net providers
D)private Medigap insurers

Question 15

In 1967, New York passed legislation to set the Medicaid income eligibility requirements at a level that included the poor and also working- and middle-class families. What was the federal government's response?

A)It capped income eligibility for Medicaid at 133% of the Assistance to Families with Dependent Children (AFDC) eligibility line.
B)It passed comparable legislation at the federal level.
C)Through the U.S. Attorney's office, it sought an injunction to prevent implementation of the New York legislation.
D)It passed the Supplemental Security Income program to expand Medicare's reach.