Medicaid Expansion and the Affordable Care Act: A Fiscal Checkup 2016 Agenda

Links to each presentation can be found within the agenda below:


7:30 a.m. to 8:00 a.m. — Registration and Continental Breakfast
Badge Pickup and Security Inspection in the Lobby

8:00 a.m. — Welcome
William Testa, Vice President, Federal Reserve Bank of Chicago

8:05 a.m. — Opening Remarks
Trish RileyExecutive Director, National Academy for State Health Policy 

8:50 a.m. — Break

9:00 a.m. — Session I – To Expand or Not to Expand: A Question for States
The Affordable Care Act gave states the option of expanding Medicaid to cover the major population that generally had not previously been covered: non-elderly, non-disabled adults without dependent children. This panel will explore the experience of states that have chosen to expand coverage like Illinois, states that have chosen not to fully expand like Wisconsin and states like Indiana and Michigan that have waivers from the federal government to implement special versions of ACA Medicaid expansion. How has expanding or not expanding Medicaid affected budgets and health outcomes in these states? 

Moderator: The Honorable Julie Hamos, Principal, Health Management Associates


10:30 a.m. — Break

10:45 a.m. — Session II – The ACA’s Impact on Mental Health Services
Medicaid expansion under the Affordable Care Act was seen as a game changer for low income persons with mental illnesses. The new enrollees were disproportionately affected by mental health issues, but were previously uninsured and often lacked access to services. Panelists will discuss how Medicaid has and has not met the challenge of serving this population, including those involved with the criminal justice system.

Moderator: Alexa James, Executive Director, NAMI Chicago


  • Mark Ishaug, CEO, Thresholds
  • Dr. Jay ShannonCEO, Cook County Health and Hospitals System
  • Chuck IngogliaSenior Vice PresidentNational Council for Behavioral Health 

12:15 p.m. — Break

12:20 p.m. — Luncheon, Keynote Address
Keynote Speaker: Vikki Wachino, Director, Center for Medicaid and CHIP Services (CMCS) within the Centers for Medicare and Medicaid Services (CMS) at the U.S. Department of Health and Human Services.
Medicaid under the ACA

1:30 p.m. — Adjournment
Laurence Msall, President of The Civic Federation