President Trump is trying to rip apart our health care by going to court to eliminate the Affordable Care Act in its entirety. If the Trump lawsuit is successful, it will strip coverage from millions of Americans, raise premiums, end protections for people with pre-existing conditions, put insurance companies back in charge, and force seniors to pay more for prescription drugs. The result will be to — as the Trump Administration itself admitted in Court — unleash “chaos” in our entire health care system.
Trump Administration Proposal Redefines Poverty to Raise Health Care Costs for Middle-Class Families
For the second time in less than a month, the Trump administration has proposed obscure bureaucratic formula changes that will raise health care costs for 8.2 million people who buy private insurance using federal premium tax credits (PTCs). The latest move changes the definition of inflation that affects the federal poverty level (FPL), which is used to determine eligibility for many need-based programs.
Drug companies consistently set high prices, which forces families to make impossible choices between their health care and other basic needs. Drug companies set exorbitant prices by design to maximize their profits, while making misleading claims that high prices simply fund innovative new drugs. Despite this gaming, our political system makes it easy for drug companies to continue exploitative pricing. This piece explains how our current drug pricing system leads to unaffordable prescription drugs, and ultimately harms people’s health.
Early experiences matter. They shape a child’s developmental trajectory and lifelong health and wellbeing. All too often children are exposed to adverse experiences such as abuse, living with a parent who suffers from mental illness or struggling with substance abuse, violence-in-their-home-or-community, or other challenging events.
Kansas lawmakers are currently considering legislation that could expand Medicaid to 150,000 nonelderly, low-income Kansans. As lawmakers debate Medicaid expansion in the state’s legislature, Families USA has published a fact sheet on the impact of Medicaid Expansion on Kansas’s state budget. Click here to view the fact sheet.
Oral health is an important factor to overall health and influences physical and mental well-being. People with mental health conditions and substance use disorders face a number of challenges that make them especially vulnerable to sub-par oral health. This factsheet provides an overview of how oral health and mental health interact, and provides solutions to improving oral care and access to this population.
Broad bipartisan majorities in the Maryland Senate and House, by margins of 46-0 and 119-12, have approved legislation to establish a simple and seamless system for obtaining health coverage. Under the bill, an uninsured Marylander can start the enrollment process by simply checking a box on their state income tax return. That single step will let the state’s health care exchange determine eligibility for free or low-cost health insurance, based on information in the tax return. Those who qualify for Medicaid will be enrolled automatically.
Partial Expansion Does Not Really Close the Coverage Gap: The Impact of Individual Market vs. Medicaid Expansion Coverage for 100-138% FPL Population
This analysis highlights the coverage and financial burden that non-elderly adults between 100-138% of the Federal Poverty Level experience when enrolled in individual market coverage compared to coverage under Medicaid expansion. We show that Marketplace coverage is simply not adequate or appropriate for near poor individuals and families.
Due to changes made through recent federal rules issued by the Trump administration, small businesses and self-employed business owners can buy health plans through associations that are exempt from many state and federal regulations. These new rules leave consumers without important protections. For example, Association Health Plans (AHPs) don’t have to cover all of the benefits that other plans sold to individual and small businesses must cover.
States’ experience shows that Medicaid expansion at the enhanced federal match can generate state savings across multiple budget areas. Those savings can be substantial, offsetting most or all of the state’s share of expansion costs. A full analysis the budget impact of expanding Medicaid must include an assessment of those savings.