General Statement 510-03-07-05
(New 7/1/2014 ML #3404)
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The Medicaid Program was authorized in 1965 during a special session of the North Dakota Legislature for the purpose of strengthening and extending the provision of medical care and services to certain groups of people whose resources are insufficient to meet such costs. Medicaid began in North Dakota effective January 1, 1966. Corrective, preventive and rehabilitative medical services are provided to help individuals and families retain or attain capability for independence, self-care, and self-support.
In 2010, the Patient Protection and Affordable Care Act of 2010 commonly called the Affordable Care Act (ACA) , was signed into law by President Obama on March 23, 2010. This law represents the most significant regulatory overhaul of the U.S. healthcare system since the passage of Medicare and Medicaid in 1965, with the goals of increasing the quality and affordability of health insurance, lowering the uninsured rate by expanding public and private insurance coverage, and reducing the costs of healthcare for individuals and the government.
In 2013, the North Dakota Legislature approved the expansion of the Medicaid Program as a result of the passage of the Affordable Care Act. The expanded Medicaid program is available to individuals between the ages of 21 and 65 with household incomes up to 138% of the federal poverty level (FPL).