In States That Don't Expand Medicaid, Who Gets New Coverage Assistance Under the ACA and Who Doesn't?

Millions of women, minorities, young adults and those with low incomes are ineligible for any health insurance assistance because their state opted not to expand Medicaid.

The Issue

This research provides more evidence that state officials’ decisions against expansion adversely affect already disadvantaged residents. While 5.9 million adults with moderate incomes in nonexpanding states qualify for financial assistance to purchase insurance through the new marketplaces, nearly 6.3 million uninsured residents with lower incomes remain ineligible for help because the state’s Medicaid program was not expanded. The median income of those ineligible for coverage assistance is less than $800 a month, compared to more than $2,000 a month for those eligible to receive subsidies.