How will the ACA affect Medicaid?
The ACA expands Medicaid
coverage to people with incomes up to 133 percent (138 percent, net of
income disregards) of the federal poverty level (FPL). The federal
government will initially provide 100 percent cost coverage for this
population and 90 percent of the cost long term. According to policy
experts, the number of children and non-elderly adults added to the
Medicaid rolls as a result of these changes could be as low as 11
million or as high as 24 million, depending on how many states accept
the ACA funding and expand their Medicaid programs. In Pennsylvania, the
expansion is expected to cover more than 600,000 currently uninsured
residents. Beneficiaries enter and leave Medicaid as their financial
circumstances change, so the actual increases in monthly enrollment
could be lower than these numbers.
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