Document Type

Research Report

Original Publication Date


Date of Submission

May 2017


Virginia is the second worst state in providing Medicaid to its citizens. The focus of this report is to provide a racial equity impact analysis of Senate Bill (SB) 30, the Senate legislative vehicle for the appropriations of the budget submitted by the Governor of Virginia for fiscal years 2015 and 2016. SB 30 included a provision called “Marketplace Virginia” as an alternative to traditional Medicaid expansion in Virginia. This compromise bill would have covered an estimated 430,000 Virginians who fall in the Medicaid coverage gap by assisting them in purchasing private insurance. This report provides a racial equity impact analysis of the failure of the Virginia General Assembly to pass SB 30. The racial and ethnic impact of this proposed, but failed, legislation is important because minorities in Virginia disproportionately face disparities in health care access and quality. This racial impact analysis captures and reports the potential impact of this legislation by race in the Commonwealth of Virginia. The primary recommendation includesraising eligibility requirements to a minimum of 100 percent of the federal poverty level. Virginia’s current eligibility requirements are so strict that although it is ranked 7th in per capita personal income, Virginia ranked 43rd in Medicaid enrollment as a proportion of the state’s population and 47th in per capita Medicaid spending.

Is Part Of

VCU L. Douglas Wilder School of Government and Public Affairs Publications