The states hardest hit by the coronavirus are states that did expand Medicaid, including New York, New Jersey, Washington and California. If your state did not expand Medicaid and you have been denied Medicaid coverage, you are exempt from the mandate to obtain insurance and won't owe the fee. The political and logistical challenges would be tough, policy analysts say. The Biden Administration is likely to make coverage expansion for low-income populations a priority, including filling in the âcoverage gapâ that exists for adults in non-expansion states. The volume investigates the outcomes of the ACA in communities throughout the country and provides up-close, intimate portraits of individuals and groups trying to access and provide health care for both the newly insured and those who ... To see more, visit https://www.npr.org. By the end of 2015, almost forty percent of states had opted out of the Medicaid Expansion component of the Affordable Care Act, providing a unique opportunity to examine variation in health insurance coverage changes pre- and post- ... Found insideDoing Sociology 13.6 Medicaid Expansion In this activity, you will learn which states extended Medicaid coverage and which states did not and discuss the causes and consequences of this choice. Go to the Kaiser Family Foundation's web ... A fourth idea, Rudowitz says, is to change the law to remove the minimum cutoff for the private health insurance exchanges, since "right now, individuals who are below poverty are not eligible for subsidies in the marketplace." In addition, because several states that have not expanded Medicaid have large populations of people of color, state decisions not to expand their programs disproportionately affect people of color, particularly Black Americans. They're in what's known as the "coverage gap" — they don't qualify for Medicaid in their state, and make too little money to be eligible for subsidized health plans on the Affordable Care Act insurance exchanges. Further, Slabach said that of the 216 rural hospitals around the country most at risk of closing, 75% are located in states that did not expand Medicaid. With contributions from leading health economists and policy experts, the book considers the many dimensions of governance, institutions, methods, political economy, and ethics that are needed to decide what’s in and what’s out in a way ... In Health Care Reform and American Politics: What Everyone Needs to Know, Lawrence R. Jacobs and Theda Skocpol--two of the nation's leading experts on politics and health care policy--provide a concise and accessible overview. Biden has proposed creating a Medicare-like public option plan, which would be available to anyone and automatically cover people with low incomes in states that have not expanded Medicaid. Across Tennessee alone, a dozen rural hospitals have closed since 2010, and, according to an analysis by The Tennessean newspaper, more than a dozen others are at serious risk of going under. Follow @RachelLGarfield on Twitter Today, twelve states have still not expanded Medicaid. So, Wright is still uninsured. She's 27, lives near Jackson, Miss., works at McDonalds, and doesn't have health insurance. The graph on the left analyzes States that expanded Medicaid, with the non-expansion States and debt flows shown on the right side. The COVID-19 relief bill passed in March included financial enticements for these 12 states to expand Medicaid. In particular, rural hospitals in states that did not expand Medicaid could experience little to no growth in Medicaid revenues, while the costs of uncompensated care will remain unchanged. "It was $74 [short]. The ACA allows states to expand that threshold to 138% of the poverty level, or $3,000 per month for a family of four. When polls closed on Election Day, one of the biggest winners wasn't a politician at all. If states that are currently not expanding their programs adopt the Medicaid expansion, all of the nearly 2.2 million adults in the coverage gap would gain Medicaid eligibility. The economic downturn and change in Administration are likely to bring renewed attention to gaps in Medicaid coverage in states that have not expanded eligibility under the Affordable Care Act (ACA). But, as nearly three-fourths of the nation have now expanded Medicaid, a critical question remains: Will Tennessee? Although loudly opposed by Republicans lawmakers, ballot initiatives to expand Medicaid were approved by voters in the deep-red states of Utah, Nebraska and Idaho. Other possible legislative actions include reinstating the 100% matching for states that newly adopt the expansion for a period of time (the current match rate for the expansion is 90%). Red States that refused to expand Medicaid under the ACA are seeing their rural hospitals close down, Rural hospital closures leave residents with few options: 'It's a fight every day'. AT LEAST 15 MORE HOSPITALS ARE LOSING MONEY AND POSSIBLY AT RISK. With this option, states wouldn't be paying any of the costs, since the federal government pays premium subsidies, Rudowitz says, but "there are issues around beneficiary protections, benefits, out-of-pocket costs.". The county was left without a hospital. Manchin says it would unfairly reward states like Georgia who did not expand Medicaid under the ACA. Vote Republican, lose your rural hospital. did expand Medicaid from January through July, then moved to a state that did not expand Medicaid in August, you could still be eligible for the exemption for the full year. In addition, there will be new federal focus on encouraging expansion, either through legislative or Administrative actions. Between September 2013 and June 2014, the proportion of nonelderly uninsured adults in non-ex-pansion states fell from 20.0 to 18.3 percent, compared to a drop from 16.2 to 10.1 percent in states that expanded Medicaid. (Because of the way this is calculated, it turns out to be 138% of the federal poverty level. These highly accessible essays examine Medicare and Medicaid from their origins as programs for the elderly and poor to their later role as a safety net for the middle class. It could end Medicaid expansion and protections for preexisting conditions. Introduction. Medicaid—a federal/state partnership with shared authority and financing—is a health insurance program for low-income individuals, children, their parents, the elderly and people with disabilities. 2021 Oct 19. doi: 10.1097/MLR.0000000000001652. In states that expanded Medicaid, millions of people gained coverage, and the uninsured rate dropped significantly as a result of the expansion. One of the most dramatic coverage expansions occurred in Kentucky, where a . The 20 states that have thus far avoided expanding Medicaid must continue to resist. And an analysis by the management consultancy firm Navigant found that 21% of rural hospital in the United States are in danger of closing, too, if their finances don't improve. Unfortunately, in non-expansion states, including Texas, Florida, Georgia, and Tennessee, state lawmakers have taken the extended postpartum coverage extension but did not expand Medicaid to all adults-- a less effective strategy and more costly move overall, since the additional 10 months of postpartum coverage are matched at the state's . Between September 2013 and June 2014, the proportion of nonelderly uninsured adults in non-ex-pansion states fell from 20.0 to 18.3 percent, compared to a drop from 16.2 to 10.1 percent in states that expanded Medicaid. In states that did not expand Medicaid, low-income adults are more likely to be uninsured. cutting existing state insurance programs, Here's where the governor candidates stand on expanding Medicaid in Tennessee. About 2.2 million people, who earn too much for Medicaid and too little for Obamacare subsidies, fall in that coverage gap . States that do not expand Medicaid do not receive a special tax break or grant equal to the amount of federal Medicaid dollars they have forgone. For more information about how Medicaid provides assistance to people age 65 and older with limited financial means, choose a state on this map.) Most people in the coverage gap live in the South, leading state decisions about Medicaid expansion to exacerbate geographic disparities in health coverage. So to figure out her options when she recently learned she needed to have surgery to remove her gallbladder, she called Health Help Mississippi, a nonprofit that helps people enroll in health insurances. But a gap began to grow after some states expanded Medicaid while others did not. Even with a variety of ideas on the table, "there's no slam dunk option, it's a tough policy issue," Rudowitz says. Medicaid expansion – a government policy that extends taxpayer-funded health coverage to the moderately poor – saw significant victories against long odds two weeks ago.
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