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The Coverage Provisions in the Affordable Care Act: An Update

The Affordable Care Act (ACA) includes numerous reforms to the individual and group health insurance markets, expands Medicaid to more low-income adults, and creates health insurance Marketplaces where subsidies are available to lower the cost of coverage. These changes are designed to increase access to affordable health coverage. This brief examines these coverage provisions, provides an update on how they have been implemented, and assesses their impact.
Like previous attempts at health care reform, the ACA was structured to address the gaps and limitations of our public-private health insurance system. It builds on employer-based coverage, restructures the individual insurance market, and broadens access to and affordability of coverage by expanding Medicaid for the low-income population and extending tax subsidies for the purchase of private insurance to those with moderate incomes.

ACA 101: What You Need To Know

On Friday, March 6, 2014, the Kaiser Family Foundation and the Alliance for Health Reform host an ACA 101 briefing on the Affordable Care Act. The briefing takes place just as the second marketplace enrollment period ends, and the Supreme Court hears oral arguments in a case challenging the law’s subsidies (King v Burwell).

An Overview of Actions Taken by State Lawmakers Regarding the Medicaid Expansion

The ACA Medicaid expansion has garnered different responses from statelawmakers – Democratics and Republicans as well as governors and legislatures. While it does not cover how every state has enacted the ACA Medicaid expansion, this fact sheet highlights some of the different actions state lawmakers have taken in response to the ACA Medicaid expansion.

Trends in Medicaid Spending Leading up to ACA Implementation

This paper presents data on Medicaid spending during the years leading up to the implementation of the Affordable Care Act (ACA). It uses administrative data to first examine overall spending trends and trends by service type. We then draw on additional data to analyze per enrollee spending growth during this period, both by service type and by eligibility group, to understand what drove Medicaid spending.

Medicaid Expansion in Iowa

This fact sheet summarizes key features of IA’s Medicaid expansion waivers.

Medicaid Expansion in Indiana

This fact sheet summarizes key elements of Indiana’s Section 1115 Medicaid expansion waiver, HIP 2.0.

Proposed Medicaid Expansion in Tennessee

This fact sheet describes Tennessee’s 1115 waiver demonstration project, Insure Tennessee, which expands the State’s Medicaid program under the Affordable Care Act.