How Would States be Affected by Health Reform?

This issue brief supported by the Robert Wood Johnson Foundation and prepared by researchers at the Urban Institute examines various pathways through which individuals could gain coverage because of the health reform proposals that have passed the Senate and the House of Representatives.

Large shares of the population, particularly the uninsured, would have new coverage options under health reform, depending on the characteristics of employment in a family and employer decisions about offering health insurance under reform. In addition, the share of the population with access to insurance coverage would vary significantly across states. It is particularly striking that a large share of the eligibility for financial assistance and thus the benefits from reform would be in many of the southern and western states, due to their currently low levels of Medicaid coverage, relatively large low-income populations, and higher uninsured rates.