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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.
Of the 84 million with other coverage, 57 million were covered by Medicaid and Children's Health Insurance Program (CHIP), 12 million were covered by the ACA Medicaid expansion, 9 million were covered by the ACA/Obamacare exchanges, 5 million had other coverage such as private insurance purchased outside the ACA exchanges, and 1 million were ...
Medicaid expansion is reducing inequities in U.S. health insurance coverage, a new report finds.
Medicaid also offers benefits not normally covered by Medicare, like nursing home care and personal care services. Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to low-income and disabled people. [41]
So far, 38 states and Washington, D.C., have enacted Medicaid expansion programs. If North Carolina expanded its Medicaid access, roughly half a million uninsured residents would qualify for coverage.
The federal Centers for Medicare & Medicaid Services, or CMS, would have to issue a waiver to allow an expansion plan with a work requirement — something the Biden administration hasn’t done ...
Public insurance cover increased from 2000 to 2010 in part because of an aging population and an economic downturn in the latter part of the decade. Funding for Medicaid and CHIP expanded significantly under the 2010 health reform bill. [10] The proportion of individuals covered by Medicaid increased from 10.5% in 2000 to 14.5% in 2010 and 20% ...