Which of the following best describes the federal contribution to Medicaid Expansion in its initial years?

The assertion that the federal contribution to Medicaid Expansion was fully funded for the first three years is accurate. Under the Affordable Care Act, the federal government initially covered 100% of the costs for newly eligible individuals who qualified for Medicaid as a result of the expansion. This full funding was designed to encourage states to broaden their Medicaid programs by reducing the financial burden during the initial implementation period.

After the first three years, this funding rate gradually decreased, reaching a permanent matching rate of 90% for Medicaid Expansion participants by 2020. This strategy aimed to provide states with a strong financial incentive to participate in Medicaid Expansion while ensuring the federal government managed the costs effectively in later years. The timeline and structure of this funding model played a crucial role in the success of the Medicaid Expansion initiative as part of the ACA.