The Pardu

The Pardu
Watchful eyes and ears feed the brain, thus nourishing the brain cells.

Tuesday, October 28, 2014

ACA Enrollment Part II : The Good, The Bad, The Redemption!

We will start part with the GOP ACA policy at its worse.

Florida Republicans are the archetypal of blocking the Affordable Care Act; legislative and gubernatorial malpractice at its most Draconian.

Bloomberg Mobile, March 2013 (red highlight added by me)
An estimated 3.35 million of Florida’s 19.1 million residents receive Medicaid this year, according to the legislature’s Office of Economic and Democratic Research.

An expansion under the federal law -- which increases eligibility for a family of four earning as much as $31,800 this year -- would increase that by 1.28 million during the next 10 years, according to a November 2012 report from the Kaiser Commission on Medicaid and the Uninsured, a nonprofit group that researches health care. Obama’s health law, which passed Congress in 2010 without a single Republican vote, may extend insurance over the next decade to about 27 million people who are currently uninsured. The Congressional Budget Office estimates that 8 million more will enroll in Medicaid programs next year because of the expansion. Expansion in Florida would cost the federal government an estimated $66.1 billion during the next 10 years, according to the Kaiser report. The state’s cost during that time would be about $5.36 billion, according to the report.
Read more
How about a broader view with clear concentration of the denied and deprived in the GOP votes belt: The US South? 
The Urban Institute 

The following narrative was borrowed from Robert Reich's The Liberal Curmudgeon web page.
The map above from the Urban Institute shows that millions of poor Americans who would benefit from an expansion of Medicaid under the Affordable Care Act won't get the health care they need. The problem is that they live in states where Republican governors refuse Medicaid expansion. The darker colors represent high concentrations of poor Americans who would be eligible if GOP governors expanded the program. The Urban Institute reports:
In June 2012, the Supreme Court ruling on the Affordable Care Act (ACA) put the decision to expand Medicaid coverage to nonelderly adults with incomes below 138 percent of the federal poverty level (FPL) in the hands of the states. In states that do not expand Medicaid, uninsured adults with incomes between 100 and 138 percent of FPL may qualify for subsidies to purchase coverage through the new Marketplaces. Poor uninsured adults with incomes below the poverty level, however, will not have access to any new coverage options. As of January 2014, 25 states and the District of Columbia had chosen to expand Medicaid coverage under the ACA.1
...Based on current information, an estimated 4.4 million poor uninsured adults will become newly eligible for Medicaid in the 25 states and the District of Columbia that have opted to expand Medicaid; an estimated 5.8 million will not be eligible because they live in one of the 25 states that had not committed to expand Medicaid by January 2014 (state-level estimates are available here). Poor uninsured adults who would be newly eligible for Medicaid under the ACA expansion constitute 24.3 percent of all uninsured adults nationwide, and 21.2 and 27.2 percent, respectively, in the states that are and are not expanding Medicaid...

The ACA website has a one-page guide to the Health Insurance Marketplace. The guide includes critical related to this years enrollment period with useful links and references to deadlines. Information is key. Have you told anyone about the ACA open enrollment?

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Don't miss these critical enrollment dates.

Additional resource information

Kaiser Family Health: "Nine in Ten Uninsured Unaware that the Affordable Care Act’s Second Open Enrollment Period Starts in November."

The Urban Institute (pdf docs)

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