Filling the need for trusted information on national health issues…

What Coverage and Financing is at Risk Under a Repeal of the ACA Medicaid Expansion?

Issue Brief
  1. Rachel Garfield, Melissa Majerol, Anthony Damico, and Julia Foutz, The Uninsured: A Primer - Key Facts about Health Insurance and the Uninsured in the Wake of National Health Reform (Washington, DC:  Kaiser Commission on Medicaid and the Uninsured, November, 2016), http://kff.org/uninsured/report/the-uninsured-a-primer-key-facts-about-health-insurance-and-the-uninsured-in-the-wake-of-national-health-reform/

    ← Return to text

  2. Lisa Clemans-Cope, Urban Institute, John Holahan, and Rachel Garfield, Medicaid Spending Growth Compared to Other Payers: A Look at the Evidence (Washington, DC:  Kaiser Commission on Medicaid and the Uninsured, April, 2016), http://kff.org/medicaid/issue-brief/medicaid-spending-growth-compared-to-other-payers-a-look-at-the-evidence/

    ← Return to text

  3. Changes between 2013 and 2016 reflect the conversion to use of Modified Adjusted Gross Income to determine financial eligibility under the ACA. In addition, a number of non-expansion states tie parent eligibility to a dollar value that does not regularly adjust. As such, its value as a percent of the FPL erodes over time as the FPL increases each year.

    ← Return to text

  4. California data from “Medi-Cal Monthly Enrollment Fast Facts, June 2016,” California Department of Health Care Services, http://www.dhcs.ca.gov/dataandstats/statistics/Documents/Fast_Facts_June_2016_ADA.pdf. All ACA expansion adults are included as newly eligible in KCMU analysis.

    ← Return to text

  5. Rachel Garfield, Anthony Damico, Cynthia Cox, Gary Claxton, and Larry Levitt, Estimates of Eligibility for ACA Coverage among the Uninsured in 2016. (Kaiser Family Foundation, October, 2016), http://kff.org/uninsured/issue-brief/estimates-of-eligibility-for-aca-coverage-among-the-uninsured-in-2016/

    ← Return to text

  6. Robin A. Cohen, Ph.D., Michael E. Martinez, M.P.H., M.H.S.A., and Emily P. Zammitti, M.P.H., Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January–March 2016 (National Health Interview Survey Early Release Program, September 2016), http://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201609.pdf

    ← Return to text

  7. In some states that had expanded coverage to adults prior to the ACA, the new adult group includes some adults that were previously eligible through these pre-ACA expansions.  These adults may be matched at a rate lower than the 100% rate for 2014-2016.

    ← Return to text

  8. Larisa Antonisse, Rachel Garfield, Robin Rudowitz, and Samantha Artiga, The Effects of Medicaid Expansion under the ACA: Findings from a Literature Review, (Washington, DC: Kaiser Commission on Medicaid and the Uninsured, June 2016), http://kff.org/medicaid/issue-brief/the-effects-of-medicaid-expansion-under-the-aca-findings-from-a-literature-review/.

    ← Return to text

  9. Ashley Kirzinger, Elise Sugarman, and Mollyann Brodie, Kaiser Health Tracking Poll: November 2016, (Kaiser Family Foundation, December, 2016), http://kff.org/health-reform/poll-finding/kaiser-health-tracking-poll-november-2016/

    ← Return to text

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/KaiserFamFound

Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.