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  • First Circuit Court determines young adults remain covered under ACA in Maine

    The state of Maine must provide Medicaid coverage to several thousand low income 19- and-20-year-old young adults according to a ruling by the First Circuit Court of Appeals. 

    "We deny the petition for review and find no constitutional violation," wrote the Court in it’s determination.

    Maine Attorney General Janet Mills agreed that the federal government's action was appropriate.

    Maine tried to drop the young adult coverage in 2012, but the federal Department of Health and Human Services disapproved. That’s when the state petitioned for review on constitutional grounds.

    The First Circuit found that a state's ability to set conditions of eligibility for participation in a federal health insurance program is "not a core sovereign state function."

    Furthermore the federal Health and Human Services Secretary said that the state was a violation of the Affordable Care Act, which requires states accepting Medicaid funds to maintain their eligibility standards for children until 2019. 

    "Maine has covered these young adults for over 20 years, and dropping the coverage now clearly violates the provisions of the AffordableCare Act," said Congresswoman Chellie Pingree.  "This is good news for thousands of low-income 19- and 20-year olds who faced theloss of health care coverage." 

    Pingree wrote to HHS Secretary Kathleen Sebellius in 2012 urging the rejection of the state's waiver, saying "elimination of Medicaid coverage would not only adversely affect the health and wellbeing of Maine residents and upset Maine’s local economies, it would also be in direct violation of the maintenance of effort requirement, even in the wake of the Supreme Court’s ruling."