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Research Letter |

Southern Medical Students’ Views on Medicaid Expansion

Esme B. Cullen1; Karen E. Hauer, MD, PhD2; Leo Eisenstein3; Christy K. Boscardin, PhD2; Steven A. Schroeder, MD2
[+] Author Affiliations
1University of California–San Francisco, San Francisco
2Department of Medicine, University of California-San Francisco, San Francisco
3Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2016;176(2):254-256. doi:10.1001/jamainternmed.2015.6835.
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This cross-sectional study surveys medical students in 8 Southern public medical schools about Medicaid eligibility in their states.

The US Supreme Court’s 2012 ruling on the Affordable Care Act (ACA) made one of the law’s signature features optional rather than mandatory: states could choose whether to expand income-based eligibility for Medicaid programs. As of August 2015, 22 states declined expanding Medicaid; most of these are in the South, the US region with the highest proportion of uninsured individuals.1 Medical students will inherit the reformed health care system and thus are stakeholders in these state decisions. We surveyed medical students in 8 Southern non–Medicaid-expanding states to ascertain their knowledge and attitudes toward coverage expansion.

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Medical Student Perception of Income Eligibility for an Individual on Medicaid in Their State

Childless adults are not eligible for Medicaid in these states, regardless of income.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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