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As initially passed, the ACA was designed to provide universal health care in the U.S.: those with employer-sponsored health insurance would keep their plans, those with middle-income and lacking employer-sponsored health insurance could purchase subsidized insurance via newly established health insurance marketplaces, and those with low-income would be covered by the expansion of Medicaid.
But a crucial Supreme Court ruling in 2012 granted states the power to reject the Medicaid expansion, entrenching a two-tiered health care system in America, where the uninsured rate remains disproportionately high in mainly Republican-led Southern and Southwestern states.
Several states have trigger laws where if federal funding drops, so would Medicaid expansion.
Of the 10 states that haven’t expanded Medicaid, seven are in the South. ... which would have extended coverage to around 200,000 low-income residents. ... the most recent Southern state to pass ...
In states with expanded Medicaid, almost all adults with incomes up to 138% of the federal poverty level can benefit from the public insurance provision. So far, 38 states and Washington, D.C ...
2.6 million were in the "coverage gap" due to the 19 states that chose not to expand the Medicaid program under the ACA/Obamacare, meaning their income was above the Medicaid eligibility limit but below the threshold for subsidies on the ACA exchanges (~44% to 100% of the federal poverty level or FPL); 5.4 million were undocumented immigrants;
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
Christine Osterlund, the state Medicaid director, had told lawmakers adults only qualify at or below 38% of the federal poverty level. For a single parent with one child, that means $648 a month ...