Research the Medicaid expansion program offered through the Affordable Care Act (ACA) as well as Medicaid reform initiatives using waivers to increase access to Medicaid. Determine, based on your states profile, which process (the ACAs expansion program or the use of waivers) is most beneficial to your state. Include a comprehensive, well-supported recommendation for participation in Medicaid reform using either the ACAs program or a modified reform process using waivers.
Your advocacy report should describe your states current Medicaid program including its eligibility criteria, demographics, Medicaid spending and savings since the ACAs implementation, and comprehensive details of current or pending waivers. You should also include a discussion (benchmark) on another states success with Medicaid reform using your recommended strategy (the ACAs expansion program or the use of the specific types of waivers for which you propose).