Social and Behavioral Sciences Commons^™

Medicaid Expansion In The United States: A State Comparative Study Examining Factors That Influence State Decision Making, Tiffany J. Henley

School of Public Service Theses & Dissertations

Since the passage of the Patient Protection and Affordable Care Act (ACA) and a Supreme Court ruling that the federal government cannot compel states to expand Medicaid, a policy window has opened for states to change Medicaid policy. States are now faced with the option to expand Medicaid. Although the literature on Medicaid expansion indicates that politics plays a determining role on states’ decisions on Medicaid expansion, comprehensive analyses of dominant factors that affect these decisions on Medicaid is lacking in the field of Medicaid policy. This study will explore the decision making process of state level policies and the …