Spreadsheet: 361c440a-739f-4a4b-ae7e-60af832f5a3d
Sheet: Codebook

Variable Name | Variable Type | Question | Value  (numeric code) | Value Label | Value Indicating Missing Data | Value Indicating Inapplicable Data
FSRHIX | Categorical | What type of health insurance excahnge is operating in the state? | 1 | Federally Faciliatated Exchange
 |  |  | 2 | State Partnership Exchange
 |  |  | 3 | State Based Exchange
FSRreinprg | Binary | Who is administering the reinsurance program--the state or the federal government? | 1 | Federal Government
 |  |  | 2 | State Government
FSRrientity | Categorical | Which entity manages  the reinsurance program? | 1 | Federal Government | 99
 |  |  | 2 | State established not-for-profit
 |  |  | 3 | State contracted not-for-profit
FSRriskaden | Categorical | What entity operates the  risk adjustment program? | 1 | Federal Government
 |  |  | 2 | Exchange
 |  |  | 3 | Insurance Commissioner
 |  |  | 4 | Other
FSRadme | Binary | What risk adjustment methodology is being used by the state? | 1 | Federal adjustment methodology |  | 99
 |  |  | 2 | State adjustment methodology
FSRmcaid | Categorical | Who is administering the Medicaid/SCHIP determiniations? (i.e. Who is adjudicating eligibility)? | 1 | Federal Government
 |  |  | 2 | State Government
 |  |  | 3 | Both Federal and State Governments
FSRpmca | Categorical | Who is performing Plan Management and Consumer Assistance functions? | 1 | Federal Government
 |  |  | 2 | State Government
 |  |  | 3 | Both Federal and State Governments
MedEx | Binary | Is the state expanding Medicaid? | 0 | = No
 |  |  | 1 | = Yes
[NAME] | Ordinal | If the state is expanding Medicaid, please specify the degree of Medicaid  expansion within the state. | 1 | = State-based alternative  (specify whether it receives  federal funding) |  | 99 (No Expansion)
 |  |  | 2 | = Delayed (after 2017)
 |  |  | 3 | = Full
MEGap | Categorical | If the state is expanding Medicaid,  please specify the degree of  Medicaid expansion within the state. | 0 | = No |  | 99 (State is expanding)
 |  |  | 1 | = Yes
MEMech | Categorical | If the state is expanding Medicaid,  please specify the mechanism  of expansion. | 1 | = State Plan Amendment |  | 99 (No Expansion)
 |  |  | 2 | = Waiver
 |  |  | 3 | = Both State Plan Amendment  and Waiver
MEDesign | Categorical | What design has the state used to expand Medicaid? | 1 | = Alternative Benefit Plan  (Basic ACA 138% Expansion) |  | 99 (No Expansion)
 |  |  | 2 | = [NAME] assistance in exchanges
 |  |  | 3 | = Contract with managed care
 |  |  | 4 | = Expansion based on prior deisgn choice (i.e. expanding an existing waiver)
 |  |  | 5 | = Other
MEWaivapp | Categorical | Did the state apply for a waiver to implement the expansion? | 0 | = No |  | 99 (State is not  expanding)
 |  |  | 1 | = Yes
MEWaivst | Categorical | If the state applied for a waiver, what is the status of the waiver? | 0 | = Rejected |  | 99
 |  |  | 1 | = Pending
 |  |  | 2 | = Accepted
MEWaivnat | Categorical | If the state applied for a waiver to implement the Medicaid expansion, what is the nature of the waiver? | 1 | = Expand an existing waiver |  | 99
 |  |  | 2 | = New 1115 Waiver
 |  |  | 3 | = New 1905(a) Waiver
 |  |  | 4 | = New 1906 Waiver
 |  |  | 5 | = New 1915(b) Waiver
 |  |  | 6 | = New 1915(c) Waiver
 |  |  | 7 | = Concurrent 1915 Waiver
 |  |  | 8 | = State [NAME] (2017)
 |  |  | 9 | = Single Payer Waiver
 |  |  | 10 | = [NAME]
 |  |  | 11 | = Other (Please specify in Notes)
MEWaivapprch | Categorical | If the state has a new waiver for the newly eligible Medicaid population (i.e. not merely building on an existing  waiver), what is the waiver's approach? | 1 | = Premium assistance model  (like Arkansas) |  | 99 (State is merely expanding an existing  waiver/no expansion/standard  ACA expansion)
 |  |  | 2 | = Waiver/exchange hybrid  (like Iowa)
 |  |  | 3 | = Private Insurance Exchanges (Tennesee)
 |  |  | 4 | = [NAME]
 |  |  | 5 | = Other (please specify in notes)
MEwaivexnat | Categorical | If the state has an existing waiver that the state will use for the newly eligible Medicaid population, what is the nature of the waiver? | 1 | = New 1115 Waiver |  | 99
 |  |  | 2 | = New 1905(a) Waiver
 |  |  | 3 | = New 1906 Waiver
 |  |  | 4 | = New 1915(b) Waiver
 |  |  | 5 | = New 1915(c) Waiver
 |  |  | 6 | = Concurrent 1915 Waiver
 |  |  | 7 | = State [NAME] (2017)
 |  |  | 8 | = Single Payer Waiver
 |  |  | 9 | = [NAME]
 |  |  | 10 | = Other (Please specify in Notes)
[NAME] | Categorical | If the state is seeking to use a  state-based alternative (meaning not in partnership with the federal government) did it ever ask for an alternative waiver before? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEWaivbef | Categorical | Has the state ever obtained waivers in its Medicaid program before the Medicaid expansion? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEWaivnum | Categorical | If the state obtained waivers in its Medicaid program before the Medicaid expansion, how many waivers and when? | Original Answers |  |  | 99
MElegproc | Categorical | What is the legal process through which the state authorized the  Medicaid expansion or its  state-based alternative? | 1 | = Law |  | 99
 |  |  | 2 | = Executive Order
 |  |  | 3 | = Regulatory Action
 |  |  | 4 | = No Formal Authorization
 |  |  | 5 | = Other
MEsunset | Categorical | If the state wrote a new law to expand its Medicaid program or use a state-based alternative, does that law contain a sunset provision (meaning the law expires within a few years)? | 0 | = No |  | 99
 |  |  | 1 | = Yes
Mesunexp | Categorical | If the law contains a sunset provision,  when does the law expire? | 1 | = 2015 |  | 99
 |  |  | 2 | = 2016
 |  |  | 3 | = 2017
 |  |  | 4 | = 2018
 |  |  | 5 | = If federal funding expires
 |  |  | 6 | = Other
MESPA | Categorical | If the state expanded Medicaid, did it submit a State Plan Amendment? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEAmendst | Categorical | If the state expanded Medicaid by  State Plan Amendment, what is the  status of the amendment? | 0 | = Rejected |  | 99
 |  |  | 1 | = Submitted
 |  |  | 2 | = Accepted
MECover | Ordinal | Is the state maintaining current  Medicaid coverage? | 1 | = Scaling back
 |  |  | 2 | = Maintaining
 |  |  | 3 | = Expanding
MElegset | Categorical | If the state expanded Medicaid or  authorized a state-based alternative  by legislative act, in which type of  legislative setting did it do so? | 1 | = Regular session |  | 99
 |  |  | 2 | = Special legislative session
 |  |  | 3 | = Outside of legislative session
MEcostman | Categorical | If the state is expanding Medicaid  by law, did it include a cost  management tool in the law? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEcostmant | Categorical | What are the cost management  tools in the state's law? | Check box variable;  multiple answers
MESpProv | Categorical | Does the law contain special provisions for funding when the federal match decreases? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEAbort | Categorical | Does the state's law expanding  Medicaid restrict access to abortions  for Medicaid enrollees? | 0 | = No |  | 99
 |  |  | 1 | = Yes
Melegopp | Categorical | Did the governor overcome initial  legislative opposition to expanding  medicaid or using a state-based alternative? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEMonth | [NAME] | In what month did the state take the requisite legal action to approve the Medicaid expansion or a state based alternative? | 1 | = 2010 |  | 99
 |  |  | 2 | = 2011
 |  |  | 3 | = 2012
 |  |  | 4 | = 012013
 |  |  | 5 | = 022013
 |  |  | 6 | = 032013
 |  |  | 7 | = 042013
 |  |  | 8 | = 052013
 |  |  | 9 | = 062013
 |  |  | 10 | = 072013
 |  |  | 11 | = 082013
 |  |  | 12 | = 092013
 |  |  | 13 | = 102013
 |  |  | 14 | = 112013
 |  |  | 15 | = 122013
MEParents | Binary | Did the state expand Medicaid to both parents prior to the ACA? | 0 | = No |  | 99 (The state did not expand Medicaid to parents)
 |  |  | 1 | = Yes
MEChildless | Binary | Prior to the Affordable Care Act, did  the state expand Medicaid to childless adults? | 0 | = No
 |  |  | 1 | = Yes
MESexes | Binary | If the state did expand Medicaid to  childless adults prior to the Affordable  Care Act, did it expand to both sexes? | 0 | = No |  | 99 (The state did not  expand Medicaid to  childless adults)
 |  |  | 1 | = Yes
MEGovP | Categorical | What is the Governor's Political Party? | 1 | = Republican
 |  |  | 2 | = Democrat
 |  |  | 3 | = Nonpartisan
 |  |  | 4 | = Other
MELegparty | Categorical | What is the political party(ies) of the legislature? | 1 | = Republican
 |  |  | 2 | = Democrat
 |  |  | 3 | = Nonpartisan
 |  |  | 4 | = Divided
 |  |  | 5 | = Other
MEGovexp | Categorical | Did the Governor initiate the Medicaid  expansion? | 0 | = No |  | 99 (The state is not  expanding)
 |  |  | 1 | = Yes
MEGovmonth | [NAME] | How many months elapsed between the Governor initiating expansion and legislative enactment? | Actual Answers |  |  | 99
MEDirleg | Binary | Does the state's legislature need to confirm the state's Medicaid Director? | 0 | = No
 |  |  | 1 | = Yes
 |  |  | 2 | = Unclear
MEPricomm | Categorical | What is the state's primary procedure  for communicating with the federal government regarding expansion options? | 1 | = Formal Application
 |  |  | 2 | = Letters
 |  |  | 3 | = Public Statements
 |  |  | 4 | = Informal Negotiations
 |  |  | 5 | = Other
MEAgency | Categorical | Which state agency is implementing the  Medicaid expansion or the state-based  alternative? | 1 | = Insurance Commissioner |  | 99
 |  |  | 2 | = Existing State Medicaid
 |  |  | 3 | = New Commission
 |  |  | 4 | = New Government Office or  Department
 |  |  | 5 | = Private Entity
 |  |  | 6 | = Other (Please specify in Notes)
MEComAg | Categorical | Did the Governor command the agency to implement the Medicaid expansion? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MESpComm | Categorical | Did the Governor appoint a special  commission or task force to study expanding  Medicaid and make recommendations to the Governor? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MECommRec | Categorical | If so, did the commission or task force  make formal recommendations for the state to follow? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MECRecAg | Categorical | If so, did the commission or task force make formal recommendations for the  the state Medicaid agency to adopt? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEHHScomm | Categorical | How has Health and Human Services communicated with the state? | Check box Question;  multiple answers
MEinformal | Categorical | Did informal communications precede formal communications, rules, letters etc.? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEFedSov | Categorical | Was federalism or state sovereignty invoked in public comments by state  officials regarding the state's decision to expand Medicaid (or not to expand)? | 0 | = No
 |  |  | 1 | = Yes
 |  |  | 2 | = Other
MEWaivcon | Categorical | Did the state openly seek concessions other than a waiver or state plan amendment from the federal government in creating its Medicaid expansion? | 0 | = No |  | 99 (Not expanding)
 |  |  | 1 | = Yes
 |  |  | 2 | = Other
MEFedCon | Categorical | Please specify the nature of any federal concessions? | 1 | = Special Funding |  | 99 (Not expanding)
 |  |  | 2 | = Other
MEFundAcc | Categorical | Did the state accept funding for its Exchange? | 0 | = No |  | 99
 |  |  | 1 | = Yes
MEPriCare | Categorical | Did the state implement the primary care  payment increase for 2013-14? | 0 | = No
 |  |  | 1 | = Yes
MEARRAFund | Categorical | Did the state receive American Recovery and Reinvestment Act (ARRA) funding for Medicaidduring the Recession? | 0 | = No
 |  |  | 1 | = Yes
MEEMRFund | Categorical | Did the state accept electronic medical record funds from the federal government? | 0 | = No
 |  |  | 1 | = Yes
MELawsuit | Categorical | Did the state join in the litigation challenging the constitutionality of the Medicaid expansion? | 0 | = No
 |  |  | 1 | = Yes
MEDOLawsuit | Categorical | Has any officer or department of the state brought any other legal challenge to any aspect of the ACA? | 0 | = No
 |  |  | 1 | = Yes
MEEnroll10 | [NAME] | How many people were enrolled in the Medicaid program of this state in 2010? | Actual Answers
MECHIP10 | [NAME] | How many people were enrolled in the state's CHIP (Children's Health Insurance Program) program in 2010? | Actual Answers
MEHighRisk | [NAME] | How many people participate in a state's  Affordable Care Act high risk pool for the  most recently available fiscal year? | Actual Answers
[NAME] | [NAME] | What is the state's Medicaid expenditure for the most recent fiscal year? | Actual Answers
MEPop10 | [NAME] | What is the percentage of the state's population participating in Medicaid in 2010? | Actual Answers
* Note that, when applicable, the dataset includes both verbal and numeric versions of each variable located adjacent to one another in the dataset. The variable names of verbal versions of each variable end with _v while numeric versions end with _n.
Any questions pertaining to the dataset should be directed to [NAME] at [EMAIL]
Please cite the Medicaid Expansion & Federal State Division of Responsibilities Dataset as: [NAME], [NAME]; Town, R. (2014): Health Insurance Exchanges 2.0 Dataset. [NAME] of Health Economics, Wharton School, University of Pennsylvania. http://www.rwjf.org/en/research-publications/find-rwjf-research/2014/03/hix-2-0/medicaid-expansion---federal-state-division-of-responsibilities-.html