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Medicaid Expansion and the Affordable Care Act: A Fiscal Checkup

Monday, April 4, 2016 - 8:00am

Monday, April 4, 2016
8:00 a.m. to 1:30 p.m
Federal Reserve Bank of Chicago
230 South LaSalle Street, 3rd Floor
Chicago, Illinois

The Civic Federation is pleased to once again partner with the Federal Reserve Bank of Chicago to co-host a half-day forum, “Medicaid Expansion and the Affordable Care Act: A Fiscal Checkup” on Monday, April 4 from 8:00 a.m. to 1:30 p.m.

To download materials and presentations from the conference, click here.


*Please note, additional panelists are being finalized.

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 Riley, Executive 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


  • Felicia Norwood, Director, Illinois Department of Healthcare and Family Services 
  • Chris Harkins, ‎Director, Office of Health and Human Services, Michigan State Budget Office 
  • Seema Verma, President and Founder, SVC, INC (Indiana)
  • Kevin Moore, Wisconsin Medicaid Director 

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 Shannon, CEO, Cook County Health and Hospitals System 
  • Chuck Ingoglia, Senior Vice President, National 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.


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


To download a full copy of the agenda, please click here.