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.
With a new president and Congress, the health care gains made throughout the last six years face their greatest threat yet. Congress has voted more than 60 times to roll back the historic progress that has been made to expand health coverage to millions of people in this country and to improve coverage for those who already had it. These proposed changes will put the health—and lives—of countless Hoosiers at risk. Here’s what Indiana stands to lose if the new president and Congress move forward to upend our health care system:
This is the first in a series of analyses that examines the impact of efforts by conservative states to use Section 1115 waivers to modify their Medicaid expansions. Our analysis uses data these states report to CMS. First up: How charging Medicaid patients premiums hurts their care and state budgets.
The Supreme Court, in the King v. Burwell case, will soon decide whether millions of people in 34 states will lose premium tax credits they rely on to make health insurance affordable. Without those tax credits, most of the people affected would be unable to buy insurance and would become uninsured.
Our infographic series show how many people would lose their premium tax credits in every congressional district in the 34 states that did not establish their own marketplace.
In communities of color, where rates of uninsurance and poor health outcomes are higher than in white communities, the differences between those who have insurance and those who lack it are stark.
In late January, the Centers for Medicare and Medicaid Services (CMS) approved Indiana’s request to expand its Medicaid program using a waiver. The good news? Approximately 350,000 uninsured Hoosiers will have a chance to get Medicaid coverage under this waiver.
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.
Top 9 Occupations of the Employed but Uninsured in Indiana Who Would Benefit from Expanding Medicaid
In Indiana, more than 390,000 low-income residents lack access to health insurance. If Indiana chooses to accept federal dollars to close this gap in health coverage, the state stands to gain not only better health outcomes, but also new job creation and increased economic growth. Those who would most benefit from expanding Medicaid are working adults with incomes of up to 138 percent of the federal poverty level ($27,310 for a family of three in 2014). Nearly 59 percent of this population is employed but uninsured.
Open enrollment for the health insurance marketplace begins this November. As a result, health insurers are filing their proposed health insurance premium rates for 2015. To examine how rates may change for consumers buying policies in 2015, we reviewed filings and news reports from 12 states where proposed rates have received media attention. For each state, we looked at overall proposed premium rate changes, which are an average for each insurer. A consumer’s actual premium increase or decrease may be higher or lower than the average depending on age, location, and plan choice.