11 Million Could Lose Health Coverage If Expansion Of Medicaid Repealed

December 31st, 2016

Awake Goy

[1] Michael Karpman, Sharon K. Long, and Stephen Zuckerman, “Health Insurance Coverage Under the ACA as of March 2016,” Health Reform Monitoring Survey, Urban Institute, May 25, 2016, http://hrms.urban.org/briefs/health-insurance-coverage-ACA-March-2016.html.

[2] Approximately 11 million people had enrolled through the expansion as of the end of 2015, according to a Kaiser Family Foundation analysis based on administrative enrollment data. Since then, Medicaid enrollment in expansion states has risen further, and Louisiana and Montana have implemented the expansion. See Robin Rudowitz, Samantha Artiga, and Katherine Young, “What Coverage and Financing is at Risk Under a Repeal of the ACA Medicaid Expansion?,” Kaiser Family Foundation, December 2016, http://kff.org/medicaid/issue-brief/what-coverage-and-financing-at-risk-under-repeal-of-aca-medicaid-expansion/.

[3] “If Low-Income Adults Are To Gain Health Coverage, States Must Expand Medicaid,” Center on Budget and Policy Priorities, March 13, 2013, http://www.cbpp.org/sites/default/files/atoms/files/Fact-Sheet-Medicaid-Expansion-and-Able-Bodied-Adults.pdf.

[4] Rachel Garfield and Anthony Damico, “The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid,” Kaiser Family Foundation, October 19, 2016, http://kff.org/uninsured/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/.

[5] Charles Courtemanche, et al., “Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States,” National Bureau of Economic Research, April 2016, http://www.nber.org/papers/w22182.

[6] Rudowitz, Artiga, and Young, op cit.

[7] Deborah Bachrach, et al., “States Expanding Medicaid See Significant Budget Savings and Revenue Gains,” State Health Reform Assistance Network, Robert Wood Johnson Foundation, March 2016, http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2016/rwjf419097.

[8] Jesse Cross-Call, “Medicaid Expansion Producing State Savings and Connecting Vulnerable Groups to Care,” Center on Budget and Policy Priorities, June 15, 2016, http://www.cbpp.org/research/health/medicaid-expansion-producing-state-savings-and-connecting-vulnerable-groups-to-care.

[9] Linda Blumberg, Matthew Buettgens, and John Holahan, “Implications of Partial Repeal of the ACA through Reconciliation,” Urban Institute, December 6, 2016, http://www.urban.org/research/publication/implications-partial-repeal-aca-through-reconciliation.

[10] Benjamin Sommers, Robert Blendon, and E. John Orav, “Both The ‘Private Option’ And Traditional Medicaid Expansions Improved Access To Care For Low-Income Adults,” Health Affairs, January 2016, http://content.healthaffairs.org/content/35/1/96.abstract.

[11] Louisiana Department of Health, http://ldh.la.gov/healthyladashboard/. Data is as of December 12, 2016.

[12] Catherine Candisky and Alan Johnson, “Medicaid expansion covers nearly 500,000 Ohioans for mental health, drug treatment,” Columbus Dispatch, July 17, 2016, http://www.dispatch.com/content/stories/local/2016/07/17/medicaid-expansion-covers-nearly-500000-for-mental-health-drug-treatment.html.

[13] Brystana Kaufman, et al., “Medicaid Expansion Affects Rural And Urban Hospitals Differently,” Health Affairs, September 2016, http://content.healthaffairs.org/content/35/9/1665.abstract.

[14] Sharita Thomas, et al., “A Comparison of Closed Rural Hospitals and Perceived Impact,” North Carolina Rural Health Research Program, April 2015, http://www.shepscenter.unc.edu/wp-content/uploads/2015/04/AfterClosureApril2015.pdf. See also an updated list of rural hospital closures, http://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/.

[15] Peter Cunningham, Rachel Garfield, and Robin Rudowitz, “How Are Hospitals Faring Under the Affordable Care Act? Early Experiences from Ascension Health,” Kaiser Family Foundation, April 30, 2015, http://kff.org/health-reform/issue-brief/how-are-hospitals-faring-under-the-affordable-care-act-early-experiences-from-ascension-health/.

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