Official websites use .gov
Secure .gov websites use HTTPS
The impact of current state Medicaid expansion decisions on coverage by race and ethnicity / Kaiser Commission on Medicaid and the Uninsured
The impact of current state Medicaid expansion decisions on coverage by race and ethnicity / Kaiser Commission on Medicaid and the Uninsured
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Issue brief (Henry J. Kaiser Family Foundation)
- Contributor(s):
- Henry J. Kaiser Family Foundation, issuing body.
Kaiser Commission on Medicaid and the Uninsured, issuing body. - Publication:
- Menlo Park, CA : Kaiser Commission on Medicaid and the Uninsured, July 2013
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Care Reform
Insurance Coverage
Medicaid
Medically Uninsured -- statistics & numerical data
United States
United States. - Genre(s):
- Technical Report
- Abstract:
- One of the major vehicles in the Affordable Care Act (ACA) to increase health insurance coverage is an expansion of Medicaid to adults with incomes at or below 138% of the federal poverty level (FPL). While the expansion was intended to be implemented in all states, as a result of the Supreme Court decision on the ACA, it is now effectively a state choice. As of July 1, 2013, 24 states are moving forward with the expansion, 21 states are not planning to move forward, and there is ongoing debate in 6 states. Based on an analysis of 2011 American Community Survey data, this brief examines the implications of current state Medicaid expansion decisions on coverage by race and ethnicity. (See Appendix Tables 1-3 for 50-state information). In sum, the analysis finds: (1) People of color will be disproportionately impacted by state decisions to expand Medicaid. People of color make up the majority of uninsured individuals with incomes below the Medicaid expansion limit in both states moving forward and not moving forward with the expansion at this time. (2) The impact of current state expansion decisions varies widely by race and ethnicity. Among the examined racial/ethnic groups, Blacks are at highest risk of continuing to face coverage gaps, with nearly six in ten (59%) uninsured Blacks with incomes below the Medicaid expansion limit residing in states not moving forward with the expansion at this time. (3) Decisions by a few key states have significant implications for coverage across races and ethnicities. Among states moving forward with the Medicaid expansion, California, New York and Illinois have the largest shares of uninsured Whites and Blacks with incomes below the Medicaid expansion limit, although the distribution across these states varies by racial group. The distribution for Hispanics and Asians is slightly different, with the largest shares of uninsured Hispanics with incomes below the Medicaid expansion limit residing in California, New York, and Arizona, and the largest shares of uninsured Asians with incomes below the expansion limit residing in California, New York and New Jersey. Among states not moving forward with the Medicaid expansion at this time, Texas, Florida, and Georgia have the largest shares of uninsured individuals with incomes below the Medicaid expansion limit across races and ethnicities. However, the distribution across these states varies by racial and ethnic group.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (9 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101613212 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101613212