Eligibility for Assistance and Projected Changes in Coverage Under the ACA

Variation Across States

Over 25 million uninsured are eligible for assistance in 2014 under the Affordable Care Act

This report examines how many of the uninsured in each state would be eligible for health coverage assistance programs – i.e. Medicaid, the Children’s Health Insurance Program and subsidized private coverage through the new health insurance marketplaces – under the Affordable Care Act. The report also estimates the anticipated decrease in the uninsured population under the ACA in each state. Finally, the report examines the share of those remaining uninsured under the ACA in each state who would be eligible for, but not enrolled in, assistance programs. 

Key Findings

  • Among states not currently planning to expand Medicaid eligibility, the share of the uninsured eligible for assistance ranges from 34 to 53 percent.

  • Among states committed to expanding Medicaid, the share of the uninsured eligible for assistance ranges from 59 to 81 percent.

  • Eight states committed to expansion would see the number of uninsured decline by more than half. States not expanding Medicaid may see the number of uninsured decrease from 28 to 38 percent.

This report was prepared by researchers at the Urban Institute as part of the Quick Strike Series. It was funded by the Robert Wood Johnson Foundation.

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