Many state legislatures are passing the midpoint for 2018 sessions, and trends are emerging in their efforts to tackle health care affordability and coverage. States are also reacting to federal activity around Medicaid and private market coverage including the repeal of the individual mandate. Below are some of the noteworthy state health legislative measures already moving this year.
In 2014, Colorado accepted federal funds to provide health insurance to more low-income residents through Medicaid. Medicaid expansion gives residents with incomes below 138 percent of the federal poverty level ($27,720 for a family of three in 2015) the chance to enroll in affordable health insurance. Our analysis finds that 68 percent of those who stand to gain health coverage through Medicaid expansion are working.
States that expand Medicaid are making high-quality health coverage available to many hard-working people who would not otherwise have insurance. These individuals don’t qualify for regular Medicaid but cannot afford private health insurance. We looked at data from 11 states that have expanded Medicaid under the Affordable Care Act and found that the majority of residents who can benefit from expanded Medicaid are employed.
After expanding Medicaid, eight states (Arkansas, Colorado, Kentucky, Michigan, New Mexico, Oregon, Washington, and West Virginia) are expected to achieve budgetary savings and revenue gains exceeding $1.8 billion by the end of 2015, according to a report published yesterday. And that’s even though these states are fairly early into their Medicaid expansion.
In most states, the health care sector is among the industry sectors with the largest employment. Health care jobs tend to pay more than a state’s median wages, and growth in this sector can have a positive economic effect on other areas of a state’s economy. Many organizations, ours included, have written about the effects of Medicaid expansion on a state’s economy. Recently, Missouri (a state that has not yet expanded Medicaid) compared its employment growth in the health care sector to that of select Medicaid expansion states.
The evidence of Medicaid’s positive impact on hospitals is growing. A recent report from the Colorado Hospital Association found that hospitals in states that have expanded Medicaid are providing free care to fewer uninsured patients. Such care, also known as “charity care,” occurs when patients cannot pay their hospital bills, and represents a significant drain on hospital resources.
Shows how many people will be able to get affordable, comprehensive insurance through the new health insurance marketplaces and how many people the Affordable Care Act has helped so far.
Shows the number of people in each state who have cancer, diabetes, chronic lung disease, or heart disease and who rely on Medicaid, including breakdowns by racial and ethnic group.
Presents new national and state data showing how cutting Medicaid would harm seniors, people with disabilities, their families, state workers, and the long-term care infrastructure.
Protecting Seniors and People with Disabilities: Why It Is Important to Preserve the Maintenance of Effort Requirement in the Affordable Care Act
Discusses how stripping the maintenance of effort requirement from the Affordable Care Act will negatively affect Medicaid enrollees, their families, and their state economies.