In a unanimous decision, a panel of the U.S. Circuit Court of Appeals for the Fourth Circuit upheld a lower court decision finding that individuals are eligible for premium subsidies to purchase health insurance through the federal marketplace, just as they can in state-based marketplaces. In a 2-1 decision that has received considerably more media attention, the D.C. Circuit Court of Appeals overturned a lower court ruling and ruled that premium subsidies can be used to purchase coverage only through state-run marketplaces, and not through the federal marketplace. What do these decisions really mean?
- The Latest Effort to Undo Health Reform
- Early Data Show Decline in Uninsured Under Health Reform
- New Census Bureau Data Show More Young Adults Have Health Insurance Coverage Due to Health Reform
CBO has sharply lowered its estimates of the costs to states of adopting the Medicaid expansion.
CBO now estimates that the federal government will, on average, pick up more than 95 percent of the total cost of the Medicaid expansion and other health reform-related costs in Medicaid and the Children’s Health Insurance Program (CHIP) over the next ten years (2015-2024).
States will spend only 1.6 percent more on Medicaid and CHIP due to health reform than they would have spent without health reform.
With House supporters planning a new push for the Republican Study Committee (RSC) health plan, aided by RSC chairman Steve Scalise (R-LA)’s election as House majority whip, it’s worth looking at the plan’s likely impact. Unfortunately, it would substantially expand the ranks of the uninsured and end various important consumer protections.
- Senate Republican Health Plan Would Likely Result in More Uninsured and Fewer Protections for Consumers
- Medicaid Block Grant or Funding Caps Would Shift Costs to States, Beneficiaries, and Providers
- Ryan Medicaid Block Grant Would Cause Severe Reductions in Health Care and Long-Term Care for Seniors, People with Disabilities, and Children
- Medicaid Block Grant Would Shift Financial Risks and Costs to States
Medicaid is a federal-state public insurance program that provides health coverage to nearly 65 million low-income Americans, including children, parents, seniors, and people with disabilities. The Children’s Health Insurance Program (CHIP) gives states matching federal funds to provide health coverage to nearly 8 million children in families whose income is modestly above Medicaid limits, typically up to 200 percent of the poverty line. Medicare is a federal program that provides health coverage to about 47 million Americans, primarily individuals age 65 and older but also including several million younger adults with permanent disabilities. The Affordable Care Act, the health reform law passed in 2010, will help an estimated 32 million uninsured Americans obtain quality, affordable health coverage in both the private and public markets.
- Introduction to Medicaid
Paul Van de Water
The Center works to ensure that federal and state health insurance programs provide coverage that meets the health care needs of low-income children and families, as well as seniors and people with disabilities. The Center also works to remove barriers preventing eligible families from gaining access to health coverage.
July 23, 2014
July 21, 2014
June 25, 2014
Revised May 27, 2014
Senate Republican Health Plan Would Likely Result in More Uninsured and Fewer Protections for Consumers
May 13, 2014
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