'Coverage gap' likely to affect 5.2 million uninsured adults

October 18, 2013
'Coverage gap' likely to affect 5.2 million uninsured adults

(HealthDay)—About 5.2 million uninsured adults are expected to fall into the Affordable Care Act (ACA) 'coverage gap,' with incomes too high to qualify for Medicaid programs but below the level eligible for federal subsidies to purchase private insurance, according to a report issued by the Henry J. Kaiser Family Foundation.

Although the ACA provides full federal funding for three years to states that expand Medicaid to cover residents under 138 percent of the , most Republican-led states (26 states in total) have opted against expansion.

Based on census data from 2012 and 2013, and state Medicaid eligibility rules for 2014, the report estimates that 5.2 million poor, uninsured adults will fall into the 'coverage gap,' with incomes too high to qualify for existing Medicaid programs but below the federal poverty level required to be eligible for subsidies to buy private coverage through the insurance marketplaces. Almost half of the uninsured live in Texas, Florida, and Georgia. More than one-third of adults from Alabama, Mississippi, and Louisiana will fall into the coverage gap, and nationwide, more than one-quarter (about 27 percent) of in states not expanding Medicaid will fall into the gap.

"Millions of adults will remain outside the reach of the ACA and continue to have limited, if any, options for health coverage," the report concludes.

More information: More Information

Related Stories

Many uninsured vets will be eligible for Medicaid under ACA

March 29, 2013

(HealthDay)—A large proportion of uninsured veterans and their spouses will be eligible for Medicaid or new subsidies for coverage under the Affordable Care Act (ACA), according to a report published by the Robert Wood ...

Patterns of health insurance coverage vary by state

October 8, 2013

(HealthDay)—Patterns of health insurance coverage among adults vary by state, and these differences may be used to guide efforts to expand coverage under the Affordable Care Act (ACA), according to research published online ...

Recommended for you

New weapon in the fight against malnutrition

August 4, 2015

UBC scientists have opened the doors to new research into malnutrition by creating an animal model that replicates the imbalance of gut bacteria associated with the difficult-to-treat disease.

Can four fish oil pills a day keep the doctor away?

July 7, 2015

Fish oil is one of the most popular dietary supplements in the U.S. because of the perceived cardiovascular benefits of the omega-3 it contains. However, scientific findings on its effectiveness have been conflicting. New ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.