Filling the need for trusted information on health issues…

Trending on kff Enrollment Marketplaces Medicare Advantage

Assessing the Impact of the Affordable Care Act on Health Insurance Coverage of People with HIV

Issue Brief
  1. For a comprehensive overview of the provisions of the ACA that are of particular importance to people with HIV, see: Crowley J, Kates J (2012), The Affordable Care Act, the Supreme Court, and HIV: What Are the Implications?  Washington, DC: Kaiser Family Foundation. Available at: http://kff.org/health-reform/report/the-affordable-care-act-the-supreme-court-and-hiv-what-are-the-implications/.

    ← Return to text

  2. An analysis conducted by the Center for Health Law and Policy Innovation at Harvard Law School and the Treatment Access Expansion Project used data from the Ryan White AIDS Drug Assistance Program to estimate the number of ADAP clients who might be newly eligible for coverage by state.  See: Estimating the Transition of People Living with HIV/AIDS to Medicaid or Subsidized Private Health Insurance through the Patient Protection and Affordable Care Act, 2012.

    ← Return to text

  3. Hall H, Frazier EL, Rhodes P, et al. (2013). “Differences in Human Immunodeficiency Virus Care and Treatment Among Subpopulations in the United States.” JAMA Intern Med. 173(14):1337-1344.

    ← Return to text

  4. Kates J (2011), Medicaid and HIV: A National Analysis. Washington, DC: Kaiser Family Foundation. Available at: http://kff.org/hivaids/report/medicaid-and-hiv-a-national-analysis/.

    ← Return to text

  5. Department of Health and Human Services, Panel on Antiretroviral Guidelines for Adults and Adolescents (2013). Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents, February 12, 2013. Available at: http://aidsinfo.nih.gov/guidelines/html/1/adult-and-adolescent-treatment-guidelines/0/.

    ← Return to text

  6. For a list of these states and their eligibility requirements, see Kaiser Family Foundation, State Health Facts, “Adult Income Eligibility Limits at Application as a Percent of the Federal Poverty Level (FPL), January 2013”. Available at: http://kff.org/medicaid/state-indicator/income-eligibility-low-income-adults/.

    ← Return to text

  7. KFF analysis of data from the CDC NCHHSTP Atlas on the number of people living with an HIV diagnosis by state. See: http://gis.cdc.gov/GRASP/NCHHSTPAtlas/main.html.

    ← Return to text

  8. For a list of the current status of state Medicaid expansion decisions, see Kaiser Family Foundation, State Health Facts, “Status of State Action on the Medicaid Expansion Decision, as of September 16, 2013”. Available at: http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/

    ← Return to text

  9. Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau's March 2012 Current Population Survey (CPS: Annual Social and Economic Supplements).

    ← Return to text

  10. Holahan J, Buettgens M, Carroll C, Dorn S. The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis. (Washington, DC: The Kaiser Commission on Medicaid and the Uninsured), November 2012. Available at: http://www.kff.org/health-reform/report/the-cost-and-coverage-implications-of-the/.

    ← Return to text

  11. Congressional Budget Office. Effects on Health Insurance and the Federal Budget for the Insurance Coverage Provisions in the Affordable Care Act—May 2013 Baseline. Available at: http://www.cbo.gov/publication/44190.

    ← Return to text

  12. KCMU and Urban Institute estimates based on data from FY 2010 MSIS and CMS-64 reports, available at http://www.kff.org/hivaids/state-indicator/enrollment-spending-on-hiv/.

    ← Return to text

Appendices
  1. IOM (Institute of Medicine). 2012. Monitoring HIV care in the United States: A strategy for generating national estimates of HIV care and coverage. Washington, DC: The National Academies Press.

    ← Return to text

  2. CDC Medical Monitoring Project (MMP): http://www.cdc.gov/hiv/prevention/ongoing/mmp/index.html.

    ← Return to text

  3. McNaghten, Wolfe et al. 2007; Blair, McNaghten et al. 2011; Frankel, McNaghten et al. 2012.

    ← Return to text

  4. Analysis of data from Centers for Disease Control and Prevention, HIV Surveillance Report, 2011; vol. 23. http://www.cdc.gov/hiv/topics/surveillance/resources/reports/. Published February 2013..

    ← Return to text

  5. Current Medicaid eligibility extends through age 18 (and in some states, through age 20), and Medicare covers most people starting at age 65; thus, in examining new coverage options available to adults, we focus on the population age 19 through 64.

    ← Return to text

  6. For more information on the Medicaid undercount, see: http://www.census.gov/did/www/snacc/.

    ← Return to text

download

ISSUE BRIEF