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ACA at 10 Days of Action: Medicaid Expansion

By March 25, 2020No Comments

Surrounding the 10th anniversary of the passage of the Affordable Care Act (ACA) on March 23, Protect Our Care is holding 10 days of action to raise awareness of the most critical components of the law which has improved the lives of millions of Americans. Working with partner organizations and health care advocates, Protect Our Care will highlight a different aspect of the law each day while making clear what’s at stake if the Trump administration is successful in overturning the law through the courts.  

“The Affordable Care Act has been an incredibly positive force for Americans over the last 10 years, especially for 17 million people who are healthier due to Medicaid expansion,said Protect Our Care Executive Director Brad Woodhouse. “Over the course of these 10 days of action, Protect Our Care will remind Americans how the ACA has improved the lives of millions while making clear that President Trump and Republicans’ lawsuit to overturn the law poses an existential threat to Americans’ health care.” 

Days of Action: Day 10 of 10 focuses on Medicaid Expansion. To learn more about our days of action, visit our website.

Research Confirms Medicaid Expansion Has Had Far-Reaching Benefits, Resulting In Better Health Outcomes, Access To Care, And Financial Security For Patients. 

Medicaid Saved At Least 19,200 Lives. A report by the Center On Budget And Policy Priorities found that “the Affordable Care Act’s (ACA) expansion of Medicaid to low-income adults is preventing thousands of premature deaths each year, a landmark study finds. It saved the lives of at least 19,200 adults aged 55 to 64 over the four-year period from 2014 to 2017. Conversely, 15,600 older adults died prematurely because of state decisions not to expand Medicaid.”  [Center On Budget And Policy Priorities, 11/6/19

Medicaid Expansion Led To Coverage Gains For Children. A study in Health Affairs found that “710,000 children gained public coverage when their parents enrolled in Medicaid between 2013 and 2015. If the remaining 19 non-expansion states expanded Medicaid, 200,000 additional children would gain health coverage through existing programs. The effect was largest among children whose parents gained Medicaid eligibility through the expansion.”  [Georgetown University Center for Children and Families, 1/12/18]

The Chance Of Accruing Medical Debt Is 20 Percent Lower In States That Have Expanded Medicaid. “A survey comparing expansion and non-expansion states finds that the chance of accruing medical debt is 20 percent lower in expansion states. It also finds that Medicaid coverage, by reducing enrollees’ unpaid medical bills, improves their credit, leading to lower-interest mortgage, auto, and credit card loans that save them an estimated $280 per year in interest.” [Center on Budget and Policy Priorities, 10/2/18]

Additionally, Medicaid Expansion Has: 

If The Affordable Care Act Is Struck Down, Medicaid Expansion Would Be Eliminated

Despite the increasing disparities between states that chose to expand Medicaid and those that did not, the Trump administration and its Republican allies remain intent on decimating Medicaid expansion and jeopardizing the health of 17 million Americans who depend on Medicaid expansion for coverage. 

  • Seventeen Million People Enrolled Through Medicaid Expansion Could Lose Coverage. 
  • Access To Opioid Treatment Would Be In Jeopardy For 800,000 People With Opioid Use Disorder. Roughly four in ten, or 800,000 people with an opioid use disorder are enrolled in Medicaid. Many became eligible through Medicaid expansion.
  • Key Support For Rural Hospitals Would Disappear, leaving hospitals with $9.6 billion more in uncompensated care.
  • States Would Lose Important Federal Health Care Funding — an estimated reduction of $135 billion in the first year. The Urban Institute estimates that a full repeal of the ACA would reduce federal spending on Medicaid/CHIP care and Marketplace subsidies by $135 billion, or 34.6 percent in the first year.