Last night’s election results are in and it’s a game changer for women and families in Virginia. Governor-elect Terry McAuliffe made the state’s choice of whether or not to cover more people in the Medicaid program a central component of his platform and, last night, the effort to provide coverage for hard-working low-income Virginians just got a burst of momentum with a champion headed to the Governor’s office.
The Medicaid eligibility expansion is a crucial part of the Affordable Care Act (ACA)—and is a main component of the ACA’s strategy for achieving near-universal health coverage. States may accept federal funding to expand coverage through Medicaid to all qualified individuals under age 65 who have incomes below 138 percent of the federal poverty line (FPL), or about $32,500 for a family of four. Approximately 15 million uninsured Americans, including 7 million women, will be newly eligible for health coverage through Medicaid. Read more »
CBS and other news outlets have reported on the fact that many Americans are signing up for Medicaid coverage as part of the Affordable Care Act (ACA). Some of these reports suggest that this is somehow a crisis or a major problem with the law, but in fact, this is how Congress designed the ACA. The ACA extends health coverage to up to 30 million currently uninsured Americans through tax credits to purchase private insurance on the newly launched Health Insurance Marketplaces and through a major expansion of Medicaid eligibility. The Medicaid eligibility expansion is a crucial part of the health care law—and is a main component of the ACA’s strategy for achieving near-universal health coverage. States may accept federal funding to expand coverage through Medicaid to all qualified individuals under age 65 who have incomes below 138 percent of the federal poverty line (FPL), or about $32,500 for a family of four. Approximately 15 million uninsured Americans, including 7 million women, will be newly eligible for health coverage through Medicaid.
Here are a few facts that put these reports into context:
This is how the ACA is supposed to work. According to estimates by the Urban Institute and the Kaiser Family Foundation almost half (47%) of the uninsured population could be eligible for coverage through the ACA’s opportunity to expand Medicaid eligibility. This Medicaid eligibility expansion was always going to be a big part of the ACA’s coverage goals.
West Virginians scored a huge win today! WV Governor Earl Ray Tomblin decided to accept federal funds available under the health care law to cover more hardworking women and families through the Medicaid program. After months of activism by fantastic on-the-ground organizations like WVFREE and state advocates, Governor Tomblin made the right call.
The new health care law known as the Affordable Care Act (ACA) allocates money for each state to cover more uninsured people through Medicaid. It’s a great deal for states, since these federal dollars will cover 100% of costs in the first few years and will ultimately pay for 90% of the yearly costs of this coverage. But because last year’s Supreme Court decision made accepting these funds optional, in states that choose to turn down the money, some people will earn too little to qualify for tax credits to purchase coverage in the new health insurance marketplace, yet won’t be able to obtain coverage through Medicaid. In other words, these people will fall into a “coverage gap” and will get no help toward affording health coverage, while some people who make more money will still get help.
We continue to watch Governors and state legislators across the country as they make a crucial decision that will have an enormous impact on women and families.
Under the new federal health care law, women and families in Maine who are currently uninsured could get affordable health coverage starting next year. That’s because the law includes money to cover more people through Medicaid. Right now, Maine has an important decision to make—accept federal dollars that have been allocated to cover uninsured individuals through Medicaid or turn down the money and leave them uninsured. If Maine accepts the federal funds to cover more people, not only will it improve women’s health and dramatically reduce the number of uninsured, it will also ensure a smarter use of health care dollars.
A recently released study backs this up! Yesterday researchers from Maine Equal Justice Partners and the Maine Center for Economic Policy released a comprehensive study on this opportunity. Their findings show that accepting federal funds to expand health coverage means thousands of Mainers will receive affordable comprehensive health coverage, and the state will also benefit through a boost to the state economy. Read more »
It’s been an exciting few weeks for advocates who are urging Governors and state legislators to say yes! Last June, the Supreme Court upheld the health care law but let states choose whether or not to take the Affordable Care Act’s funding for covering more people through the Medicaid program. Ever since then, Virginia advocates have had their work cut out for them—making phone calls, knocking on doors, and educating anyone who will listen about the important benefits to the state of Virginia, hospitals and health systems, and to the women and families who will gain the most.
Last weekend, Virginia took a big step forward. The two-year state budget includes a compromise proposal that could lead to Virginia extending coverage to approximately 350,000 Virginians who currently lack health insurance. Under this proposal, a legislative committee will ultimately determine whether the expansion will move forward. Governor McDonnell is currently reviewing this legislation.
Under the health care law, states can accept significant federal funding to expand health coverage through the Medicaid program. The federal government will pay 100 percent of the costs in the first few years, and at least 90 percent of the costs after that. As many as 7 million women who are currently uninsured could gain coverage nationwide, including 169,000 uninsured Virginia women. But as governors do the arithmetic and urge their state legislators to accept the federal money, including conservative governors such as Jan Brewer (R-AZ), John Kasich (R-OH), Susanna Martinez (R-NM) and Rick Snyder (R-MI), opponents have begun to ratchet up their rhetoric and recycle worn out misinformation in an effort discourage other states from following suit.
These attacks feature some familiar arguments – Medicaid is a poor program for poor people, states can’t trust the federal government to keep its promises, Medicaid will crowd-out other state priorities. Virginia voters should not be misled by these tired tropes.
Critics like Grace-Marie Turner of the Galen Institute think Virginians should reject the federal money, arguing that Medicaid is a costly component of the state budget. But the truth is that by accepting the federal money, Virginia will be saving taxpayer dollars and helping 169,000 hard-working women and their families get the preventive care and medical services they need. Read more »
A recent study by the North Carolina Institute of Medicine confirmed what many Governors, state legislators, advocates, and the public already know: covering more hardworking people through the Medicaid program is not only the right thing to do, it’s a good deal that makes a lot of sense.
In summary, a decision to participate in Medicaid expansion, as put forth in the [health care] law, would provide insurance coverage to approximately 500,000 North Carolinians; most of whom would remain uninsured without the expansion. Providing health insurance coverage will help people gain access to the care they need, which can help improve health outcomes. Because of the high federal match rate, the offsets, and the new tax revenues, the state would likely experience a net savings of $65.4 million from the Medicaid expansion over the eight-year time period.