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A Court Ruling Striking Down the ACA Would Eliminate the Medicaid
Expansion and Cause Millions of Low-Income People to Become Uninsured Millions
of low-income Americans currently covered by Medicaid likely would become
uninsured if the Supreme Court were to strike down the Affordable Care Act
(ACA) in California v. Texas, a legal challenge the high court is
scheduled to hear in early November, KFF experts explain in a new Policy Watch post. Overturning
the ACA would eliminate the expansion of Medicaid, which largely has been
financed by the federal government, and eliminate eligibility for Medicaid
for low-income adults without dependent children. Fifteen million people were
enrolled in the ACA Medicaid expansion group as of last year, including 12
million who were made newly eligible under the health law (the remainder were
adults covered with waivers prior to the ACA and then moved to the ACA
expansion group). If
the ACA were overturned, these individuals would lose their federal
entitlement to coverage and states would no longer be able to claim 90
percent federal matching dollars for their Medicaid costs. It is most likely
that states would not continue to finance coverage for these individuals, and
given limited other options for affordable coverage absent the ACA, most
would likely become uninsured. Eliminating
the Medicaid expansion would also have implications for state budgets and
economies, as well as provider capacity and the financial health of hospitals
and other health care providers. A
related Policy Watch post highlights how the ACA’s new
coverage options, including the Medicaid expansion and subsidized private
plans on the ACA marketplace, have contributed to large gains in coverage
among people of color, helping to narrow longstanding racial disparities in
coverage. The elimination of these coverage pathways would likely lead to
disproportionate coverage losses among people of color, reversing trends and
widening disparities in coverage, access to care, and health outcomes. For
more data and analyses regarding the ACA and Medicaid expansion, visit kff.org. Filling
the need for trusted information on national health issues, KFF (Kaiser Family Foundation)
is a nonprofit organization based in San Francisco, California. |
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Tuesday, October 6, 2020
A Supreme Court Ruling Striking Down the ACA Would Eliminate the Medicaid Expansion
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