5.2 million people won’t qualify for Medicaid or subsidies for private insurance in the 26 states not expanding Medicaid
October 17, 2013
The Kaiser Family Foundation is out with a new analysis that shows just how much pain will be inflicted in the states who chose not to expand Medicaid. The analysis provides state-by-state estimates of poor uninsured adults who fall into the “Coverage Gap” under the Affordable Care Act. 5.2 Million people who won’t qualify for Medicaid or subsidies for private insurance live in the 26 states not expanding Medicaid under the law.
The expansion of Medicaid under the Affordable Care Act (ACA) provides a link between new private coverage options available through either Health Insurance Marketplaces or employers and the existing Medicaid program, which previously had many gaps in coverage for adults.However, the June 2012 Supreme Court ruling made the expansion of Medicaid optional for states, and as of September 2013, 26 states did not plan to implement the expansion. In states that do not expand Medicaid, over five million poor uninsured adults have incomes above Medicaid eligibility levels but below poverty and may fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. Most of these people have very limited coverage options and are likely to remain uninsured. This brief describes the coverage gap and presents state estimates of the population that falls into this situation.