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Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions
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Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions
Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions
Journal Article

Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions

2017
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Overview
By September 2015, a total of 29 states and Washington, D.C., were participating in the ACA Medicaid expansion. During year 2 after implementation, the expansion was associated with substantial reductions in rates of uninsurance and in reports of inability to afford health care. The Affordable Care Act (ACA) expanded Medicaid eligibility to persons earning up to 138% of the federal poverty level, as part of the largest expansion of coverage to nonelderly adults since the 1960s. Although the expansion was originally intended to be enacted nationally, a 2012 U.S. Supreme Court decision made it optional for states. A total of 24 states decided not to expand in 2014, which affected 6.7 million uninsured low-income adults who otherwise would have gained eligibility. 1 Since 2014, an additional 5 states have implemented expansions, although 19 states still have not adopted the expansion as of January 2017. . . .