Medical Assistance Reform Materials

Welcome to the Medical Assistance (MA) Reform Campaign resource page! We will be adding Policy Information and Updates to this page as the Campaign unfolds, so be sure to check in for the latest news and campaign progress!

Medical Assistance Reform 2016 Fact Sheet



Background Information
MEDICAL ASSISTANCE (MA) is important to people with disabilities because it gives access to health care and home and community based services (HCBS) necessary for independent living. Current limits force thousands of adults with disabilities to live below the poverty line, trapping them in poverty.

THE SPENDDOWN is the money an individual with a disability is expected to spend on medical bills in order to bring their income down low enough to qualify for MA. Current law will leave only $792 a month to live on.

ASSET LIMITS are $3,000 in savings per person, $6,000 per couple. This limit leaves people with disabilities vulnerable to catastrophic emergency and struggling to get out of poverty.

MA Reform 2016 Request:
Raise the Spenddown Limit to the poverty level
Raise the Asset Limit to $10,000 per person and $18,000 per couple

Benefits of MA Reform:
Each 5% increase in the spenddown limit lets people keep $49 a month more of the own income.

Allows more Social Security income to be used for its intended purpose: to pay living expenses
Supports the Olmstead Plan for individuals to live independently in their communities.

Aligns the Spenddown Limit with the MA qualifying income limit for adults with disabilities
Aligns the Asset Limit with other DHS programs.

Homecare services are less expensive than institutional settings and reduce emergency care
State funds raising the spenddown and asset limits receive 100% matching federal Medicaid funds.

Healthcare providers will incur less debt and be able to continue vital in-home services and medical supplies
All funds pay for healthcare costs of low-income adults with disabilities and seniors.
Raise the Spenddown Limit to $10,000 per person and $18,000 per couple
Cost: $27.2 M (FY17) – Positively Impacts 15,500 Minnesotans

For more information, contact Erica Schmiel, Minnesota Brain Injury Alliance, at 612-378-2742, 800-669-6442 or at