Tuesday, February 18, 2014
The map above from the Urban Institute shows that millions of poor Americans who would benefit from an expansion of Medicaid under the Affordable Care Act won't get the health care they need. The problem is that they live in states where Republican governors refuse Medicaid expansion. The darker colors represent high concentrations of poor Americans who would be eligible if GOP governors expanded the program. The Urban Institute reports:
In June 2012, the Supreme Court ruling on the Affordable Care Act (ACA) put the decision to expand Medicaid coverage to nonelderly adults with incomes below 138 percent of the federal poverty level (FPL) in the hands of the states. In states that do not expand Medicaid, uninsured adults with incomes between 100 and 138 percent of FPL may qualify for subsidies to purchase coverage through the new Marketplaces. Poor uninsured adults with incomes below the poverty level, however, will not have access to any new coverage options. As of January 2014, 25 states and the District of Columbia had chosen to expand Medicaid coverage under the ACA.1
...Based on current information, an estimated 4.4 million poor uninsured adults will become newly eligible for Medicaid in the 25 states and the District of Columbia that have opted to expand Medicaid; an estimated 5.8 million will not be eligible because they live in one of the 25 states that had not committed to expand Medicaid by January 2014 (state-level estimates are available here). Poor uninsured adults who would be newly eligible for Medicaid under the ACA expansion constitute 24.3 percent of all uninsured adults nationwide, and 21.2 and 27.2 percent, respectively, in the states that are and are not expanding Medicaid...