The Sconi

Scott Walker, former governor of Wisconsin, said that the state avoided financial risks associated with Medicaid expansion by emphasizing employment for able-bodied, working-age adults. This statement was made on the social media platform X.

"This was a very important reason for our opposition to expanding Medicaid under Obamacare," said Walker. "The most important, however, was the belief that able-bodied, working-age adults should have jobs. They should not be dependent on taxpayer-funded welfare when they are able to work! Not Wisconsin."

The debate over Medicaid expansion persists in Wisconsin, where lawmakers remain divided on adopting the Affordable Care Act’s (ACA) expanded eligibility. According to the Milwaukee Journal Sentinel, supporters argue that expansion would close coverage gaps and increase federal funding. Opponents express concerns about long-term state costs and potential impacts on private insurance, reflecting broader national debates as other states face similar decisions.

According to the Wisconsin Department of Health Services, Medicaid enrollment in the state reached approximately 1.6 million in 2023. Program spending exceeded $12 billion annually, representing a significant portion of the state's overall budget.

A Kaiser Family Foundation analysis indicates that states expanding Medicaid under the ACA achieved greater reductions in uninsured rates, improved access to care, and better financial security for enrollees compared to non-expansion states like Wisconsin. The state operates a unique hybrid model without full ACA expansion.

Walker, who served as Wisconsin’s governor from 2011 to 2019, was known for opposing full Medicaid expansion under the ACA. Instead, he championed a limited, state-specific approach to low-income coverage, influencing ongoing Medicaid policy debates in the state as profiled by Ballotpedia.