Akron Beacon Journal...
Trouble for the uninsured
July 25, 2012 

In its landmark ruling in June, the U.S. Supreme Court made Medicaid expansion optional, striking down the requirement in the Affordable Care Act that state governments, beginning in 2014, cover adults under age 65 with incomes up to 133 percent of the federal poverty level. On Tuesday, the nonpartisan Congressional Budget Office clarified some of the effects of the court’s decision. 

According to the budget office analysis, permitting states to opt out of Medicaid expansion will reduce by 6 million the number of uninsured people who could have gained health coverage through the public program for poor families. With the optional expansion, the projected cost of the reform law over the next 10 years would be $84 billion less than earlier estimates of $1.7 trillion. 

Worth highlighting, too, for those like Lt. Gov. Mary Taylor who contend that the nation and its economy would be served best by repealing the law, the CBO analysis concludes that the health-care law will reduce budget deficits in the future. A repeal, on the other hand, would increase the federal deficit by $109 billion over 10 years. 

No less important, the court’s easing of the Medicaid mandate is retrogressive. A major goal of the overhaul is to open avenues to affordable coverage for as many as possible of the 53 million or so Americans who currently lack health coverage. The assumption in expanding Medicaid eligibility is that it would cover the lowest-income earners, while premium and cost-sharing subsidies would make coverage through the new health exchanges more affordable for those who are better off, up to 400 percent of the poverty level. 

Read the rest of the article at the Akron Beacon Journal




 
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