In 2014, Iowa accepted federal funds to provide health insurance to more low-income residents through Medicaid. Medicaid expansion gives Iowa 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 because of 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.
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.
When states don’t extend Medicaid, Americans are hit the hardest. Our brief compares two neighboring states, Missouri and Iowa. Iowa has extended Medicaid coverage, but Missouri has not.
On April 29, Families USA released a report that profiles two residents in neighboring states: Iowa, which chose to accept federal funds to extend health coverage to more adults through Medicaid, and Missouri, which has rejected federal funds to do the same. Our report shows how a state’s choice to extend health coverage can make a real difference in people’s lives. It also shows that if a state chooses not to extend coverage, that choice is not only a great injustice—it threatens access to care for Americans who need affordable, quality health care.