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University of Wisconsin–Madison
Poverty-related issues in the news, from the Institute for Research on Poverty

Tag: Affordable Care Act (ACA)

Medicaid Expansion – Louisiana, Montana

  • Medicaid expansion created 19,000 new jobs in Louisiana, according to study, By Maria Clark, April 10, 2018, New Orleans Times-Picayune: “Louisiana’s decision to expand Medicaid in 2016 led to a $1.85 billion direct economic impact, according to an economic impact report released Tuesday (April 11). The report called Medicaid Expansion and the Louisiana Economy was commissioned by the Louisiana Department of Health and prepared by Dr. Jim Richardson and the Public Administration Institute at Louisiana State University…”
  • Report: Medicaid expansion pays for itself; future economic impact seen as bright, By Holly K. Michels, April 10, 2018, Billings Gazette: “In the first two years after Montana expanded Medicaid, the savings to the state have eclipsed the costs. Though that could flip by 2020, increased activity in Montana’s economy because of the expansion will more than make up the difference. That’s according to a report commissioned by the Montana Healthcare Foundation and Headwaters Foundation…”

State Medicaid Programs

  • Medicaid is a lifeline for nearly half of this county’s residents, By Phil Galewitz, March 27, 2018, CNN Money: “On a crisp sunny day, Tyson Toledo, a precocious 5-year-old boy, hobbled into a private health clinic to have his infected foot examined. Pediatrician Gayle Harrison told his mother to continue to apply antibiotic ointment and reminded them to come back if the swelling and redness worsened. The appointment at Rehoboth McKinley Christian Health Care Services’ outpatient center in Gallup, New Mexico, comes at no charge for the Toledo family, who live 30 miles away on the Navajo Nation Reservation. That’s because Tyson is covered by Medicaid, the government health insurance program for the poor…”
  • California Medicaid expansion enrolled hundreds of thousands of ineligible people, federal report finds, By Chad Terhune, March 26, 2018, Los Angeles Times: “California signed up an estimated 450,000 people under Medicaid expansion who may not have been eligible for coverage, according to a report by the U.S. Health and Human Services Department’s chief watchdog…”
  • Utah governor signs Medicaid expansion bill. Now, Utah waits to see if the feds will approve it., By Luke Ramseth, March 28, 2018, Salt Lake Tribune: “Gov. Gary Herbert signed a measure Tuesday to give more than 70,000 needy Utahns access to government health coverage, ending years of failed attempts on Capitol Hill to expand Medicaid in the state. But whether House Bill 472 ever takes effect still remains uncertain. Under President Obama’s signature Affordable Care Act (ACA), the Utah law needs approval by the federal Centers for Medicare and Medicaid Services (CMS), which has sent mixed signals on whether it will fully sign off…”

States and Medicaid Expansion

Medicaid expansion’s troubled future, By Vann R. Newkirk II, March 13, 2018, The Atlantic: “In 2012, the Supreme Court’s decision in the NFIB v. Sebelius case sent shockwaves through the health-policy community, with Chief Justice John Roberts’s majority opinion causing much teeth-gnashing all around. Among many conservatives, the preservation of the Affordable Care Act’s individual mandate constituted ‘one of the worst Supreme Court decisions in American history.’ For supporters of the law, the decision to turn the ACA’s expansion of Medicaid into a state-optional program threatened to destabilize the entire project of expanding coverage to the poorest Americans…”

Medicaid Expansion and Rural Hospitals

Hospitals in states that expanded Medicaid less likely to close, By John Daley, January 8, 2018, National Public Radio: “The expansion of Medicaid helps rural hospitals stay afloat in states like Colorado, which added 400,000 people to the health insurance program under the Affordable Care Act. Hospitals in states that expanded Medicaid were about 6 times less likely to close than hospitals in non-expansion states, according to a study by researchers at the University of Colorado Anschutz Medical Campus…”

States and Medicaid Expansion

  • LePage says he’ll block voter-approved Medicaid expansion unless legislators fund it, By Scott Thistle, November 8, 2017, Portland Press Herald: “Just hours after a Medicaid expansion was endorsed by nearly 60 percent of Maine voters, Gov. Paul LePage and his Republican allies vowed to delay, if not derail, the citizen-initiated law that would provide health care to as many as 70,000 low-income residents of the state…”
  • Election results invigorate Medicaid expansion hopes, By Abby Goodnough and Margot Sanger-Katz, November 8, 2017, New York Times: “The election results in Maine and Virginia have energized supporters of expanding Medicaid under the Affordable Care Act in several holdout states. After months of battling Republican efforts to repeal the law, they now see political consensus shifting in their direction…”
  • Medicaid expansion takes a bite out of medical debt, By Alex Smith, November 10, 2017, National Public Radio: “As the administration and Republicans in Congress look to scale back Medicaid, many voters and state lawmakers across the country are moving to make it bigger. On Tuesday, Maine voters approved a ballot measure to expand Medicaid under the Affordable Care Act. Advocates are looking to follow suit with ballot measures in Utah, Missouri and Idaho in 2018…”

Medicaid Enrollment

Report: Medicaid enrollments, costs begin to stabilize, By Christina A. Cassidy (AP), October 19, 2017, Washington Post: “States are seeing more stability in their Medicaid programs after experiencing a surge in enrollment and costs associated with the Affordable Care Act, suggesting that one of the major pillars of former President Barack Obama’s health overhaul may be nearing its peak. At the same time, they are experiencing a high level of uncertainty as Republicans in Congress continue to advocate for a major overhaul of a program that provides health insurance to tens of millions of lower-income and disabled Americans…”

Mobile Health Clinics

Mobile clinics assume greater role in preventive care, By Scott Rodd, October 11, 2017, Stateline: “One afternoon last month, the Family Van stopped at the corner of Washington and Roxbury streets in Boston. The regulars had already formed a line, waiting in the lingering summer heat for the red and green RV to arrive. The Family Van, which is funded in part by Harvard Medical School, provides free blood pressure tests, HIV counseling and basic medical care to underserved neighborhoods across Boston. The van has been operating since 1992, and mobile health clinics like it have been around for decades, but they are assuming a more prominent role as the U.S. health care system places a greater emphasis on preventive care…”

ACA Health Insurance Subsidies

Trump to end key ACA subsidies, a move that will threaten the law’s marketplaces, By Amy Goldstein and Juliet Eilperin, October 13, 2017, Washington Post: “President Trump is throwing a bomb into the insurance marketplaces created under the Affordable Care Act, choosing to end critical payments to health insurers that help millions of lower-income Americans afford coverage. The decision coincides with an executive order on Thursday to allow alternative health plans that skirt the law’s requirements…”

At-Home Health Care

The return of the doctor house call, By Mattie Quinn, September 28, 2017, Governing: “‘Do you hear that?’ asks Beth Hungate, as she walks into an apartment in the historic neighborhood of Richmond, Va., known as ‘the Fan.’ Hungate, a nurse practitioner at Virginia Commonwealth University’s (VCU) medical center, is there to see a patient of hers, a woman named Luckie Locke. Locke has been in quite a bit of discomfort recently and requested that Hungate stop by. But as Hungate walks through the door, she notices an incessant beeping noise. Hungate scans the apartment for the source of the beeping; eventually she traces it to a carbon monoxide detector. She calls her clinical coordinator to get a nonemergency fire department truck to come by. ‘You see? I would have never known this if I wasn’t coming to her house,’ Hungate says…”

Health Insurance Coverage in the United States: 2016

  • How health-care reform affected America, in 51 graphs, By Philip Bump, September 14, 2017, Washington Post: “Last year, 8.6 percent of Americans lacked health insurance. Three years earlier, that figure was 14.5 percent, meaning that the rate dropped by 5.9 percentage points over the period that the Affordable Care Act went into effect, a 40 percent decline from the 2013 figure. In real terms, that’s about 19 million fewer people lacking health insurance, per estimates released Tuesday by the Census Bureau…”
  • States with the highest and lowest uninsured rates, By Mattie Quinn, September 13, 2017, Governing: “As discussions about the future of the Affordable Care Act (ACA) continue on Capitol Hill, at least one thing is certain: The law has led to a record number of people having health insurance. According to data released this week from the U.S. Census Bureau, only 8.8 percent of Americans were uninsured in 2016. That’s down from 13.3 percent in 2013, the year before much of the ACA took effect. Since then, every single state has seen their uninsured rate drop…”
  • Obamacare keeps shrinking the ranks of N.J.’s uninsured, Census data shows, By Disha Raychaudhuri, September 12, 2017, NJ.com: “About 66,000 more people in New Jersey had health insurance in 2016 than the previous year, according to a report released Tuesday by the U.S. Census Bureau. The latest data shows that the number of uninsured N.J residents has continued to drop, a trend that policy analysts attribute to the success of the Affordable Care Act…”
  • Uninsured rate continues to drop in Indiana under Obamacare, By Maureen Groppe, September 13, 2017, Indianapolis Star: “The number of Hoosiers without health insurance fell 41 percent after the coverage expansion elements of the Affordable Care Act went into effect, according to new federal data. The 8.1 percent of residents who still lacked insurance last year is now lower than the national 8.6 percent rate, the Census Bureau reported. But Indiana still has a higher share of its population uninsured than do its neighboring states, which expanded their Medicaid programs before Indiana did…”
  • Young, low-income Kansans more likely to be uninsured than counterparts in other states, By Jim McLean, September 14, 2017, KCUR: “Low-income Kansans are less likely to have health insurance than their counterparts in other states, according to an analysis of new data from the U.S. Census Bureau. The uninsured rate among Kansans living below the federal poverty level has been worse than the national rate for many years. But the gap has widened in recent years, mainly because of the state’s rejection of Medicaid expansion, said Robert St. Peter, president and CEO of the nonpartisan Kansas Health Institute…”

Health Insurance Coverage in the US

  • More people remain insured since Obamacare, CDC says. But many pay more out of pocket, By Daniel Chang, August 29, 2017, Miami Herald: “More Americans had health insurance during the first three months of 2017 than before the Affordable Care Act became law in March 2010, according to the National Health Interview Survey released Tuesday — but more have coverage with high out-of-pocket costs, which can discourage patients from visiting the doctor and filling a prescription…”
  • Bipartisan group of governors calls on Congress to shore up elements of Affordable Care Act, By Amy Goldstein, August 31, 2017, Washington Post: “A bipartisan group of governors is trying to jump-start efforts to strengthen private insurance under the Affordable Care Act, urging Congress to take prompt steps to stabilize marketplaces created by law while giving states more freedom from its rules…”

Medicaid and Addiction Treatment

How Medicaid cuts could exacerbate the opioid epidemic, By Ronald Brownstein, July 13, 2017, The Atlantic: “When Christie Green took her job three years ago as public-health director for the Cumberland Valley District in southeastern Kentucky, she had nearly two decades of experience in the state’s public-health system. But Green still wasn’t prepared for what she saw when her predecessor took her around this hardscrabble swathe of Appalachia centered on Clay County, which The New York Times once described as the hardest place in the United States to live. ‘In the first week,’ Green recently told me, ‘I met more people who were raising their grandchildren than I had in my entire career before that…’”

Medicaid and Addiction Treatment

Medicaid expansion has delivered access to addiction treatment, report finds, By Sarah Fentem, July 7, 2017, National Public Radio: “This week, as senators have decamped from Washington for the Fourth of July recess, the future of the Senate’s Affordable Care Act replacement plan — and by extension, Medicaid — remains uncertain. Just days before the recess, a report from the Urban Institute, a public policy think tank, detailed big increases in Medicaid spending on opioid addiction treatment under the Affordable Care Act. It’s a trend that could be reversed if the Senate’s plan passes…”

Health Insurance Coverage in the US

  • Charity care dips at Wisconsin hospitals, with more people insured; trend could end with Obamacare repeal, By David Wahlberg, June 11, 2017, Wisconsin State Journal: “Hospitals in Madison and throughout Wisconsin have provided less charity care in recent years as more people have gained insurance through the Affordable Care Act, with some hospitals directing the savings to disease prevention. That could change if Congress overturns the law, known as Obamacare, and increases the ranks of the uninsured. And if Medicare payment cuts that helped pay for the law’s expanded coverage also remain, hospitals could end up shifting more costs to people with private insurance, officials say…”
  • What the Obamacare overhaul could mean for Texas’ terrible maternal mortality rate, By Katie Leslie, June 12, 2017, Dallas Morning News: “Texas officials were already investigating why an alarming number of Lone Star women are dying from pregnancy-related complications when a study last year ranked the state’s maternal mortality rate as the nation’s worst. That’s why many doctors and health care advocates are watching Republican-led negotiations in Washington over replacing the Affordable Care Act, with some worried about what the changes could mean for Texas’ maternal health crisis…”
  • Nevada may become first state to offer Medicaid to all, regardless of income, By Alison Kodjak, June 13, 2017, National Public Radio: “Nevadans will find out this week whether their state will become the first in the country to allow anyone to buy into Medicaid, the government health care program for the poor and disabled…”
  • In Texas, people with erratic incomes risk being cut off from Medicaid, By Shefali Luthra, June 14, 2017, Iowa Public Radio: “Worries about whether her children can still get the health care they need are never far from Dawn Poole’s mind. It’s a constant, underlying concern. Much of her anxiety is a direct result of living in Texas. To qualify for Medicaid in the state, most children must come from families with incomes at or below 138 percent of the federal poverty level. In 2017, that’s $33,948 for a family of four. Texas also has one of the country’s strictest Medicaid verification systems: It runs regular checks on family finances after children are enrolled to make sure they continue to qualify…”

States and Medicaid Expansion

3-state study sizes up gains via Medicaid; coverage soars in Arkansas, Kentucky, less so in Texas, By Andy Davis, May 23, 2017, Arkansas Democrat-Gazette: “Three years after their states expanded Medicaid, low-income people in Arkansas and Kentucky continued to be more likely to have a doctor and less likely to have trouble paying medical bills or to delay seeking care because of the cost, a study has found. The study, conducted annually since 2013 by researchers with the Harvard School of Public Health and Brigham and Women’s Hospital in Boston, found those and other improvements in Arkansas and Kentucky continued to be significant compared with smaller or nonexistent gains in Texas, which did not expand Medicaid…”

States and Medicaid Coverage

  • Medicaid is helping poor patients get needed care, even as Republicans push to cut it, study finds, By Noam N. Levey, May 17, 2017, Los Angeles Times: “As the Trump administration and congressional Republicans push for sweeping cuts to the Medicaid safety net, a study released Wednesday provides new evidence the program is significantly improving poor Americans’ access to vital medical care. Low-income patients in Arkansas and Kentucky, two states that expanded Medicaid under the Affordable Care Act, are getting check-ups more regularly and delaying care because of cost less frequently…”
  • Nebraska’s new Medicaid managed care system blamed for problems with billing and getting approval for care, By Martha Stoddard, May 15, 2017, Omaha World-Herald: “Nebraska’s new system for administering the bulk of its Medicaid program has gotten off to a rocky start. Nearly five months after its launch, the system has left behavioral health and home health providers fuming over unpaid claims and frustrated about getting care authorized for patients…”
  • Medicaid spending caps in Republican proposal would cut coverage for Florida children, By Daniel Chang, May 18, 2017, Miami Herald: “Low-income children in Florida gained Medicaid coverage under the Affordable Care Act despite the state’s refusal to expand eligibility for the public health insurance program, according to a study published Wednesday by the non-partisan Urban Institute, a health policy think tank. But those gains may end if the American Health Care Act — the Republican-sponsored bill to repeal and replace the health law known as Obamacare — creates spending caps for Medicaid, according to the consulting firm Avalere Health in a separate report this week…”
  • Big health gains in Medicaid expansion states elude Texas’ poor, By Jenny Deam, May 18, 2017, Houston Chronicle: “The health of Texas’ poor is worse – at times significantly so – than those who live in two Southern states that expanded Medicaid under the Affordable Care Act. A report Wednesday in Health Affairs, a health policy journal, examined four years of medical outcomes in Texas, Arkansas and Kentucky and found that health measurements in the latter two states, both of which expanded Medicaid, dramatically improved in nearly all categories…”

Health Insurance Coverage in the US

Progress reducing U.S. uninsured rate comes to a halt, By Ricardo Alonso-Zaldivar (AP), May 16, 2017, Seattle Times: “Five years of progress reducing the number of Americans without health insurance has come to a halt, according to a government report out Tuesday. More than a factoid, it shows the stakes in the Republican drive to roll back the Affordable Care Act. The report from the Centers for Disease Control and Prevention estimates that 28.6 million people were uninsured in 2016, unchanged from 2015. It was the first year since passage of the health care overhaul in 2010 that the number of uninsured did not budge…”

Health Insurance Coverage in the US

  • Uninsured rate for poor, childless adults declines, By Michael Ollove, April 10, 2017, Stateline: “As the Trump administration and Republicans in Congress explore ways of repealing and replacing the Affordable Care Act, a new study shows how beneficial the law has been to poor adults who don’t have children.  The study by the Urban Institute found that between 2013 and 2015, the rate of poor, childless adults without health insurance fell by 47.1 percent…”
  • Maps show a dramatic rise in health insurance coverage under ACA, By Alyson Hurt, Juan Elosua and Rebecca Hersher, National Public Radio: “New data from the U.S. Census Bureau presents the most detailed picture yet of the dramatic rise in the number of people covered by health insurance since the Affordable Care Act went into effect. County-level data going back to 2010, when the law was signed, shows a patchwork of people living without health insurance that ticked down slowly for the first three years under the ACA. But, once the online insurance exchanges opened at the end of 2013 and Medicaid expanded, the population living without coverage dropped noticeably…”

Medicaid Expansion – Louisiana

Poll: Louisiana residents largely support Medicaid expansion but find ‘Obamacare’ unfavorable, By Elizabeth Crisp, April 11, 2017, Baton Rouge Advocate: “Nearly three-fourths of Louisiana residents approve of the state’s decision to expand Medicaid, a new poll suggests, even as President Donald Trump, who remains widely popular in the state, continues his quest to repeal the federal Affordable Care Act that made expansion possible.  The 2017 Louisiana Survey’s findings on health care suggest a disconnect in the relationship between Medicaid health care coverage and the ACA…”

States and Medicaid Expansion

  • In health bill’s defeat, Medicaid comes of age, By Kate Zernike, Abby Goodnough and Pam Belluck, March 27, 2017, New York Times: “When it was created more than a half century ago, Medicaid almost escaped notice. Front-page stories hailed the bigger, more controversial part of the law that President Lyndon B. Johnson signed that July day in 1965 — health insurance for elderly people, or Medicare, which the American Medical Association had bitterly denounced as socialized medicine. The New York Times did not even mention Medicaid, conceived as a small program to cover poor people’s medical bills. But over the past five decades, Medicaid has surpassed Medicare in the number of Americans it covers. It has grown gradually into a behemoth that provides for the medical needs of one in five Americans — 74 million people — starting for many in the womb, and for others, ending only when they go to their graves…”
  • Medicaid expansion becomes trendy with death of GOP health bill, By Maggie Fox, March 31, 2017, NBC News: “All of a sudden, Medicaid is trendy again. The governor of Kansas vetoed a bill on Thursday that would have expanded Medicaid in his state. But the legislature is reserving the option of trying to override the veto and Virginia and North Carolina are moving toward expansion. Several other states are considering it.  It’s a fast turnaround made by states that had resolutely resisted taking part on a major plank of the 2010 Affordable Care Act — the expansion of Medicaid to cover more people…”
  • The states where Obamacare’s footprint might get even bigger, By Russell Berman, March 29, 2017, The Atlantic: “Now that the Affordable Care Act has survived its most serious threat in Congress, the law’s footprint across the country might grow even larger in the months ahead. Several states that initially opted out of Obamacare’s Medicaid expansion are now reconsidering their decision as a result of last year’s elections and as Republicans come under new pressure to accept the billions in federal dollars available under the law. The most aggressive push is coming in deep-red Kansas, where the Republican-controlled Senate on Tuesday sent Governor Sam Brownback legislation that could expand the state’s version of Medicaid to as many as 150,000 new enrollees…”
  • Brownback vetoes Medicaid expansion; House pauses override debate, By Jonathan Shorman, March 30, 2017, Wichita Eagle: “The fate of Medicaid expansion in Kansas remains undecided – at least until Monday – as supporters of expansion scramble to find votes to override Gov. Sam Brownback’s veto. Brownback vetoed the proposal Thursday morning, one day after receiving it. ‘The cost of expanding Medicaid under ObamaCare is irresponsible and unsustainable,’ he said in his veto message…”
  • Arkansas lawmakers send Medicaid expansion to governor, By John Lyon, March 31, 2017, Times Record: “The House on Thursday approved and sent to the governor’s desk a bill that will fund Arkansas’ Medicaid expansion program for another year. House members voted 77-13 to approve Senate Bill 196 by the Joint Budget Committee, a bill to appropriate $8.3 billion in federal and state Medicaid money for traditional Medicaid and the Medicaid expansion program…”
  • Georgia to explore Medicaid changes after GOP health plan’s implosion, By Greg Bluestein, March 27, 2017, Atlanta Journal-Constitution: “Gov. Nathan Deal said Monday his administration is exploring changes to Georgia’s Medicaid program after a sweeping Republican overhaul of the Affordable Care Act was scuttled in a stunning rebuke to Donald Trump and Congressional leaders. The Republican governor said there are limits to what the state can request ‘as long as mandates under the basic Obamacare legislation stand in place.’ But he said the state would review healthcare options that could include changes to ‘mandated minimum coverage’ provisions that require the state Medicaid program to cover a range of health services to recipients…”