First on CNN: 35 million Americans and more have Affordable Care Act coverage — but the gains may not last long 2022-04-29 11:30:14


I was supplied with Relief measures from Covid-19 Renewed federal investment, enrollment in Obamacare plans, Medicaid expansion and Basic Health Plan policies rose to an estimated 35.8 million as of early 2022, up from 27.1 million in 2020, according to the Department of Health and Human Services.

This includes an estimated 13.6 million people enrolled in policies purchased in Obamacare exchanges and more than 21 million people in Medicaid expansion coverage, including 16.8 million people who were not eligible before the landmark Health Reform Act.

Meanwhile, the rate of the uninsured fell to 8.8% in the fourth quarter of last year, down from 10.3% in the same period in 2020, according to new Federal National Health Interview Survey data. This represents about 4.9 million people with coverage.

“With a record total of more than 35 million people who now have health coverage, thanks to the Affordable Care Act, America’s uninsured rate is close to an all-time low,” Health and Human Services Secretary Xavier Becerra said in a statement.

However, those gains could begin to melt as early as this summer if the country’s public health emergency is not renewed again. This will allow states to appeal Medicaid Beneficiary Deregistration who are no longer eligible for coverage, a practice that was interrupted during the pandemic.

Also, the boosting federal subsidies to Obamacare, which drew more Americans to stock exchanges, are set to expire at the end of this year unless Congress takes action.

growing interest

Even before President Joe Biden took office in 2021, more Americans were signing up for Affordable Care Act coverage as the Covid-19 pandemic has placed an increased focus on access to health care.

Then Biden fired a six-month period Special registration period Early last year, allowing people to take advantage of more Generous Federal Subsidies Created by the Democrats’ $1.9 trillion coronavirus relief package. About 2.8 million people signed up for Obamacare plans during this period.
Administration also extended Open enrollment period To cover 2022 for a month, the funding has been poured into marketing, outreach and policy assistance. 14.5 million people chose the plans, but not all of them actually ended up signing up.
Last month, the Centers for Medicare and Medicaid Services launched a Special Enrollment Period for Low-Income AmericansMost of them can opt for plans without premiums.

Additionally, Medicaid enrollment has ballooned over the past two years in large part because states have not been allowed to forcibly remove anyone from coverage during the pandemic in exchange for a more generous federal Medicaid match, under the coronavirus relief package passed by Congress in 2020.

Gains at risk

The historic increase in the Affordable Care Act and Medicaid coverage may be short-lived.

Unless Congress takes action, enhanced subsidies will not be available for 2023 policies in the Affordable Care Act exchanges. Democrats plan to extend government as part of Rebuild a better spending package She was thwarted last year when Democratic Senator Joe Manchin of West Virginia said he would not support her.

Also, as many as 14.4 million people could lose Medicaid coverage if the public health emergency ends after the second quarter of this year, according to the Urban Institute.

The public health emergency will last until mid-July. The Biden administration said it will give states 60 days notice before the emergency ends so they can ramp up their preparations to review residents’ eligibility for Medicaid.