What Coverage and Financing is at Risk Under a Repeal of the ACA Medicaid Expansion?
Issue Brief
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), https://www.kff.org/uninsured/report/the-uninsured-a-primer-key-facts-about-health-insurance-and-the-uninsured-in-the-wake-of-national-health-reform/
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), https://www.kff.org/medicaid/issue-brief/medicaid-spending-growth-compared-to-other-payers-a-look-at-the-evidence/
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.
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.
- 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), https://www.kff.org/uninsured/issue-brief/estimates-of-eligibility-for-aca-coverage-among-the-uninsured-in-2016/
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
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.
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), https://www.kff.org/medicaid/issue-brief/the-effects-of-medicaid-expansion-under-the-aca-findings-from-a-literature-review/.
Ashley Kirzinger, Elise Sugarman, and Mollyann Brodie, Kaiser Health Tracking Poll: November 2016, (Kaiser Family Foundation, December, 2016), https://www.kff.org/health-reform/poll-finding/kaiser-health-tracking-poll-november-2016/
