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Median Medicaid/CHIP Eligibility
                        Thresholds, January 2013
         235%



                                 185%
                                              Minimum Medicaid Eligibility under Health Reform - 138% FPL
                                                         ($24,344 for a family of 3 in 2012)




                                                           61%
                                                                                    37%


                                                                                                              0%

      Children                 Pregnant                 Working                   Jobless                Childless
                                Women                   Parents                   Parents                 Adults

SOURCE: Based on the results of a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured
and the Georgetown University Center for Children and Families, 2013.
Health Insurance Coverage of the Nonelderly, 2011
                                                                                                                  Federal Poverty
                                                                                                                       Level
                                                                                                                    ≥400% FPL



                                                                                                                       139-399%
         Employer-Sponsored                                                                                               FPL
              Coverage                                                                                                 (Subsidies)

                                                   Uninsured


                                                                                                                      <139% FPL
                                    Medicaid/                                                                         (Medicaid)
                                   Other Public

 Private Non-Group


            266.4 Million Nonelderly                                            47.9 Million Uninsured
*Medicaid also includes other public programs: CHIP, other state programs, Medicare and military-related coverage. The federal
poverty level for a family of four in 2011 was $22,350.
Numbers may not add to 100 due to rounding.
SOURCE: KCMU/Urban Institute analysis of 2012 ASEC Supplement to the CPS.
Share of Nonelderly Uninsured ≤138% FPL by
                 State, 2010-2011

                            WA                                                                           VT    ME
                                                MT        ND
                                                                                                                    NH
                                                                     MN
                         OR                                                                               NY      MA
                                                          SD                WI
                                      ID                                              MI                           RI
                                                                                                                CT
                                                 WY                                                  PA
                                                                      IA                                       NJ
                                                           NE                              OH                  DE
                              NV                                                IL   IN                        MD
                                           UT                                                   WV
                                                     CO                                               VA
                                                               KS         MO                                   DC
                       CA                                                                 KY
                                                                                                     NC
                                                                                     TN
                                                                OK         AR                       SC
                                      AZ         NM
                                                                                MS   AL        GA
                                                            TX             LA
          AK
                                                                                                     FL
                                 HI


                                                                          26% – 47% (17 states, including DC)
                      United States:                                      48% – 52% (18 states)
                      51% Uninsured ≤ 138% FPL                            53% - 61% (16 states)

SOURCE: Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census
Bureau's March 2011 and 2012 Current Population Survey (CPS: Annual Social and Economic Supplements).
States continue to weigh the Medicaid expansion
                     decision.
 Executive Activity on the Medicaid Expansion Decision:
                                 WA                                                                                VT    ME
                                                     MT            ND                                                          NH
                                                                               MN
                              OR                                                                                   NY           MA
                                                                    SD                WI
                                           ID                                                   MI                              RI
                                                                                                                          CT
                                                      WY                                                      PA         NJ
                                                                                IA
                                                                     NE                              OH                  DE
                                   NV                                                     IL   IN                        MD
                                                UT                                                        WV VA
                                                          CO             KS         MO                                   DC
                            CA                                                                      KY
                                                                                                               NC
                                                                                               TN
                                                                          OK         AR                       SC
                                           AZ         NM
                                                                                          MS   AL        GA
                                                                      TX             LA
             AK                                                                                               FL
                                      HI


                                                               Governor’s Position on the Medicaid Expansion, as of Mar. 5, 2013
                                                                     Supports Expansion (27 states, including DC)
                                                                     Opposes Expansion (17 states)
                                                                     Weighing Options (7 states)

SOURCE: Based on a review of State of the State Addresses, Budgets Proposed by Governors, as well as other public statements
made by the Governor.
New State and Federal Medicaid
              Expenditures Under ACA, with All States
                 Expanding Medicaid, 2013-2022




                                         Federal                             State
                                       $952 Billion                        $76 Billion




                                            Total: $1,028 Billion

SOURCE: Urban Institute estimates prepared for the Kaiser Commission on Medicaid and the Uninsured, October 2012.
Enrollment Increases Under the ACA With All
     States Expanding Medicaid, 2016 and 2022
                              New Eligibles   Current Eligibles

                      2016                                    2022




           12.0 M            5.9 M                   14.3 M           7.0 M




             Total: 17.9 Million                       Total: 21.3 Million

SOURCE: HIPSM 2012.

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Medicaid Expansion Under The Affordable Care Act, JAMA, March 27, 2013

  • 1. Median Medicaid/CHIP Eligibility Thresholds, January 2013 235% 185% Minimum Medicaid Eligibility under Health Reform - 138% FPL ($24,344 for a family of 3 in 2012) 61% 37% 0% Children Pregnant Working Jobless Childless Women Parents Parents Adults SOURCE: Based on the results of a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured and the Georgetown University Center for Children and Families, 2013.
  • 2. Health Insurance Coverage of the Nonelderly, 2011 Federal Poverty Level ≥400% FPL 139-399% Employer-Sponsored FPL Coverage (Subsidies) Uninsured <139% FPL Medicaid/ (Medicaid) Other Public Private Non-Group 266.4 Million Nonelderly 47.9 Million Uninsured *Medicaid also includes other public programs: CHIP, other state programs, Medicare and military-related coverage. The federal poverty level for a family of four in 2011 was $22,350. Numbers may not add to 100 due to rounding. SOURCE: KCMU/Urban Institute analysis of 2012 ASEC Supplement to the CPS.
  • 3. Share of Nonelderly Uninsured ≤138% FPL by State, 2010-2011 WA VT ME MT ND NH MN OR NY MA SD WI ID MI RI CT WY PA IA NJ NE OH DE NV IL IN MD UT WV CO VA KS MO DC CA KY NC TN OK AR SC AZ NM MS AL GA TX LA AK FL HI 26% – 47% (17 states, including DC) United States: 48% – 52% (18 states) 51% Uninsured ≤ 138% FPL 53% - 61% (16 states) SOURCE: Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau's March 2011 and 2012 Current Population Survey (CPS: Annual Social and Economic Supplements).
  • 4. States continue to weigh the Medicaid expansion decision. Executive Activity on the Medicaid Expansion Decision: WA VT ME MT ND NH MN OR NY MA SD WI ID MI RI CT WY PA NJ IA NE OH DE NV IL IN MD UT WV VA CO KS MO DC CA KY NC TN OK AR SC AZ NM MS AL GA TX LA AK FL HI Governor’s Position on the Medicaid Expansion, as of Mar. 5, 2013 Supports Expansion (27 states, including DC) Opposes Expansion (17 states) Weighing Options (7 states) SOURCE: Based on a review of State of the State Addresses, Budgets Proposed by Governors, as well as other public statements made by the Governor.
  • 5. New State and Federal Medicaid Expenditures Under ACA, with All States Expanding Medicaid, 2013-2022 Federal State $952 Billion $76 Billion Total: $1,028 Billion SOURCE: Urban Institute estimates prepared for the Kaiser Commission on Medicaid and the Uninsured, October 2012.
  • 6. Enrollment Increases Under the ACA With All States Expanding Medicaid, 2016 and 2022 New Eligibles Current Eligibles 2016 2022 12.0 M 5.9 M 14.3 M 7.0 M Total: 17.9 Million Total: 21.3 Million SOURCE: HIPSM 2012.