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The Individual Mandate: How Sweeping?

The so-called “individual mandate”  – the provision under the Affordable Care Act (ACA) that requires most individuals to carry a minimum level of insurance coverage and is now being considered by the Supreme Court – has emerged as the least popular element of the reform law and the prime target for…

Visualizing Health Policy: Medicaid Expansion Under the Affordable Care Act

The March 2013 Visualizing Health Policy infographic looks at how expanding Medicaid under the Affordable Care Act will impact low-income and uninsured people, and how these groups will be affected in states that do not expand the program. See the full-size infographic at The Journal of the American Medical Association View the…

A Profile of Community Health Center Patients: Implications for Policy

Community health centers are a key source of primary care in underserved areas. Their role will grow as coverage expands under the ACA. To sharpen understanding of the health center patient population, this brief compares them to the low-income population overall, using the Health Center Patient Survey and National Health Interview Survey. The pre-ACA profile of health center patients that emerges sets the stage for measuring change and highlights important implications of states’ Medicaid expansion decisions.

Characteristics of Poor Uninsured Adults who Fall into the Coverage Gap

In states that do not implement the Medicaid expansion under the Affordable Care Act (ACA), many adults will fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. Nationwide, nearly five million poor uninsured adults are in this situation.This brief describes the population in the coverage gap and discusses the implications of them being left out of ACA coverage expansions.

Health Affairs Article: Medicaid Expansion: Chronically Homeless Adults Will Need Targeted Enrollment and Access to a Broad Range of Services

Homeless adults may gain access to health services under the Affordable Care Act’s Medicaid expansion, which takes effect in 2014. This study, published in Health Affairs, analyzed the health coverage, health status, and health services use of 725 chronically homeless adults with disabilities in eleven cities in the United States.

Providing Outreach and Enrollment Assistance: Lessons Learned from Community Health Centers in Massachusetts

As states and communities gear up to provide outreach and enrollment assistance under the ACA, the enrollment assistance experience of health centers in Massachusetts, where a major expansion of health coverage was implemented six years ago, offers valuable lessons that can help to inform current and emerging efforts by health centers and other community-based organizations to reach and enroll millions of low-income, uninsured Americans in health insurance.

Key Facts about the Uninsured Population

This fact sheet provides details about the 47 million nonelderly Americans that were uninsured in 2012. It answers questions about why so many Americans are uninsured, how uninsured numbers have trended over time, who the uninsured are, and how being uninsured impacts their daily lives, from health care access issues to financial implications. It also explores the potential implications of upcoming Affordable Care Act provisions on uninsured individuals and how it might help them gain coverage.