In your opinion, which of the following is likely to have the most positive impact on state Medicaid programs’ cost and quality?

Expanding the eligibility criteria to include individuals with higher incomes 9%
States allowing certain Medicaid-eligible individuals to use federal funding to purchase health plans on the HIXs 19%
States introducing cost-sharing measures into their Medicaid program 16%
States adding personal accountability requirements (e.g., annual health assessments, engagement in work search-related activities) as a condition of eligibility 57%

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