The Kentucky governor’s office. (Photo by Erin Pettigrew).

Kentucky’s new Republican governor, Matt Bevin, who has denounced the Affordable Care Act, wants to revise the state Medicaid program, which was expanded under the ACA with a federal waiver like  the one that Indiana uses.

Instead of the traditional 1115 Medicaid waiver, Bevin’s administration reportedly will seek a 1332 waiver, part of the ACA that lets states organize heir own healthcare programs as long as the number of covered people remains the same or greater.

But states can’t  apply for a 1332 waiver until Jan. 1, 2017.

Assuming that Kentucky uses the Indiana  template for Kentucky’s revised Medicaid expansion, low-income residents will pay for more of their medical costs, which probably would discourage  many  of them from enrolling.