1. The ACA (Affordable Care Act) provides 100 percent funding for the increased state portion of Medicaid, but only from 2014 to 2016. Paraphrase: The Affordable Care Act, also known as ACA, will guarantee 100% funding for the state portion of Medicaid, which had increased, through 2014-2016.
2.. Direct quote: To add to that, according to McLaughlin (2011), “Although increased levels of income eligibility are a key way the ACA increases insurance coverage in the United States, state pressure may change this policy” (p. 106).
3. Summary: This paragraph informs that through the 2014-2016 the Affordable Care act will be able to provide full financial support for the scaled up portion of Medicaid, social health care program for families and individuals who have low income. After this period federal support will significantly decline, though it is not clear to what extent exactly. This change will affect the states that had low-eligibility levels before 2014 financially. Concurrently, if there would be a bigger quantity of states with low income-eligibility, the authorities would have to change the policy (although it is not noted how), because it relies on high-eligibility levels.
4. Block quote: Fortunately, there is a temporary solution to this problem:
The ACA (Affordable Care Act) provides 100 percent funding for the increased state portion of Medicaid, but only from 2014 to 2016. After that time, federal support gradually declines. For states that have low income-eligibility levels before 2014, this change will be expensive over the long term. Although increased levels of income eligibility are a key way the ACA increases insurance coverage in the United States, state pressure may change this policy (McLaughlin, 2011, p. 106).
References
McLaughlin, D.B. (2011). Responding to Healthcare Reform: A Strategy Guide for Healthcare Leaders (p.106). Chicago, IL: Health Administration Press. Retrieved from http://site.ebrary.com/lib/excelsior/Doc?id=10478023&ppg=121