Medicaid Expansions: Coverage Improves but State Fiscal Problems Jeopardize Continued Progress

Pursuant to a congressional request, GAO examined the effects of legislation between 1984 and 1989 that expanded Medicaid eligibility and improved services, focusing on: (1) how these modifications affected low-income pregnant women and children; (2) the extent to which states implemented Medicaid expansions; and (3) whether these expansions contributed to state fiscal problems.