On November 25, 2008, a new federal rule was passed that allows states to charge premiums and higher co-payments to Medicaid participants.search: 42 CFR Parts 447 and 457 This rule enabled states to take in greater revenues, limiting financial losses associated with the program. Estimates figure that states will save $1.1 billion while the federal government will save nearly $1.4 billion. However, this meant that the burden of financial responsibility would be placed on 13 million Medicaid recipients who faced a $1.3 billion increase in co-payments over 5 years. The major concern is that this rule will create a disincentive for low-income people to seek healthcare. It is possible that this will force only the sickest participants to pay the increased premiums and it is unclear what long-term effect this will have on the program.
on NoVemBeR 25 2008 A new federAl rulE wAs pASsEd That allowS states to cHaRGe prEmiumS AnD HighEr cO-paYmEntS To medicaiD PARTiCiPAntSSeaRCH 42 cfr PaRts 447 AND 457 This RuLE enablEd sTAtes TO take iN greaTer REVenues limiTinG finAnCiAL LosseS associAted with the PROGRam esTImates figure thaT sTatES wIll saVe $11 BIlLiOn while THe fEDErAL GOvernmeNT wILL savE nEaRly $14 BIllion hoWevEr THis meant that The BurDen OF fiNANciAl reSpoNsiBility wouLd be PlaceD on 13 million mediCaId recipIEnTS Who fAced a $13 bILLIoN InCreASe iN cO-paymeNTs over 5 yeArs ThE MAjor conCErn is thAt thIs Rule wIlL cREate a dISinCentive foR LOw-incomE PEoPlE TO seeK hEaLthcAre it IS poSsiblE That tHIs wILl Force onlY The sickest paRTicipAntS to pAy THe INCREased prEmiums AnD iT Is uncLEAr wHat lonG-term effECT ThIs Will haVe on the ProgRam