• Alicia L Carbaugh, Risa Elias, and Diane Rowland.
• Henry J. Kaiser Family Foundation, Washington, DC 20005, USA. aliciac@kff.org
• Annu Rev Public Health. 2006 Jan 1; 27: 417-42.

AbstractMedicaid is the nation's largest health care program providing assistance with health and long-term care services for millions of low-income Americans, including people with chronic illness and severe disabilities. This article traces the evolution of Medicaid's now-substantial role for people with disabilities; assesses Medicaid's contributions over the last four decades to improving health insurance coverage, access to care, and the delivery of care; and examines the program's future challenges as a source of assistance to children and adults with disabilities. Medicaid has shown that it is an important source of health insurance coverage for this population, people for whom private coverage is often unavailable or unaffordable, substantially expanding coverage and helping to reduce the disparities in access to care between the low-income population and the privately insured.

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