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The Supreme Court decision allows states to choose whether or not to expand health care coverage through Medicaid. If all states approve expansion, more than 15 million uninsured adults will become newly eligible for health insurance.
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Janice was diagnosed with ovarian cancer on July 6, 2009. At the time of her stage 4 diagnosis and immediate follow-up surgery, Janice worked for the state government and had Blue Cross Blue Shield in...
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Find out how expanding health care coverage through Medicaid boosts the state’s economy and creates jobs
In The News Tue, Nov, 21 Displaced Puerto Ricans Face Obstacles Getting Health Care Many have complicated questions about whether their Medicaid or Medicare coverage can shift to their new homes. And for those seeking private insurance, using the ACA’s insurance marketplaces will likely be a new experience. Source: kaiser health news Tue, Nov, 21 Massachusetts Grabs Spotlight By Proposing New Twist On Medicaid Drug Coverage In an effort to reduce drug costs and increase efficiency, Massachusetts is seeking federal approval to implement a new approach to how the state’s Medicaid program covers prescription medications. Source: kaiser health news Fri, Nov, 17 Medicaid Expansion Takes A Bite Out Of Medical Debt Medical debt is down across the country. In states that expanded Medicaid under the Affordable Care Act, the reduction is sharper. Source: kaiser health news Wed, Nov, 15 Trump Administration Plan to Add Medicaid Work Requirement Stirs Fears The recent announcement by a top administration official that the federal government will entertain requests to implement work requirements for many adult Medicaid enrollees has raised concerns among advocates for the program. Source: kaiser health news Tue, Nov, 14 Policy Thoughts: Weighing The Wisdom Of Using The ACA To Pay For Tax Cuts; Have Efforts To Scrap Obamacare Made It Stronger? Opinion writers offer their thoughts on a range of health policy topics, including future congressional efforts to move on the Alexander-Murray bill, the importance of access to health insurance and the latest on Medicaid from Ohio and Iowa. Source: kaiser health news Tue, Nov, 14 Some States Roll Back ‘Retroactive Medicaid,’ A Buffer For The Poor — And For Hospitals The retroactive payments provide protection for poor patients who can be enrolled in Medicaid after becoming seriously ill. That enrollment process takes time, and the look-back provision helps guarantee coverage they would have been entitled to if they had enrolled earlier. Source: kaiser health news Mon, Nov, 13 Maine Gears Up For Funding Fight Next Year Over Medicaid Expansion The governor says he won't implement the expansion approved by voters in a referendum this month unless lawmakers fully fund it. Elsewhere in the news, other states consider the Maine experience while considering their own voter referendums on expansion, one family in Iowa bemoans the experiences tr... Source: kaiser health news Fri, Nov, 10 Federal Medicaid Chief Again Raises Concerns About Effect Of Expansion Seema Verma, who heads up the Centers for Medicare & Medicaid Services, says the federal health law should not have opened Medicaid to nondisabled adults because it "stretched the safety net" and imperils care for those who need it. Source: kaiser health news Fri, Nov, 10 For Years GOP Used Health Care As Political Weapon, But Election Suggests Tables Have Turned Democrats won big on Tuesday, including on a ballot initiative to expand Medicaid in Maine. The results seem to signal that health care is no longer a winning issue for Republicans. Source: kaiser health news Thu, Nov, 09 Election Results Invigorate Medicaid Expansion Hopes Passage of a referendum in Maine and Democratic gains in Virginia mean two more states may expand Medicaid soon. Advocates hope for more successes next year. Source: new york times


Take Action now!

Dear Advocates,

State legislators have returned to work and begun debating crucial health care issues, including whether or not to accept federal dollars to expand health care coverage through Medicaid in your state. Now is the time to act! Write to your legislators and let them know that you care about expanding health care coverage because coverage counts.

Thanks to the health reform law, states now have the opportunity to expand health coverage to thousands of residents who are most in need. This optional expansion will cover all people who earn less than 138 percent of the federal poverty level. That means if you earn $15,415 (or less than $31,810 for a family of four) you will be covered, regardless of preexisting conditions.

If a state expands health care coverage through Medicaid, the federal government will pay 100 percent of that state’s Medicaid costs until 2016, and 90 percent of the state’s costs until 2020. In addition, health reform provides subsidies for those low- and middle-income individuals who do not qualify for Medicaid but cannot afford private health insurance.

Using federal dollars to expand health care coverage is a good idea because it will:

  • Reduce mortality rates
  • Provide more people with health care coverage
  • Save money by increasing access to primary care physicians and decreasing use of emergency departments
  • Reduce the spread of infectious disease
  • Provide security to hardworking, low-income families

Tell your elected officials that coverage counts and you want to see federal funds expand access to health care coverage through Medicaid in your state! Reach out to them!


    Use the template language below and information from your state’s fact sheets to write a letter or an email to you legislator about the importance of health care coverage.

    I am writing to urge you to expand Medicaid in [state]. Under Medicaid expansion, all people regardless of disease who earn less than 138 percent of the federal poverty line will qualify for Medicaid. And, if our state expands coverage, the federal government will pay at least 90 percent of the costs. It is good for the health of our community and our economy.

    [#] additional citizens will receive benefits if our state chooses to expand. With an investment of only $ [$] million and 9:1 federal matching funds, our state will get an estimated $ [$] million a year, plus save $ [$] million in uncompensated care. That’s a healthier and wealthier [state].

    Expanding Medicaid coverage is a good idea for [state] because it will:

    1. Reduce mortality rates
    2. Lead to an increase in the well being of individuals
    3. Increase health care access and use among beneficiaries
    4. Increase the likelihood that individuals utilize preventative care
    5. Reduce the spread of infectious disease
    6. Reduce health disparities

    We need expansion for those most in need because coverage counts!

    Click HERE to find your State Legislators!

    Download your state-specific fact sheets and take them to your state legislator to discuss the economic and health benefits of Medicaid expansion, and why it’s necessary to ensure the wellbeing of your states.
    Write a letter to the editor of your local newspaper and tell them why Coverage Counts! Feel free to use our sample language to compose that letter:

    To the Editor:

    As our state legislators debate today’s important issues, I urge them to expand health care coverage by accepting federal funds through Medicaid. Expanding coverage will improve the health of [name of state here] residents.

    [Include a brief personalized story about your difficulty with health insurance, if applicable]

    Because of health reform, [name of state here] has the opportunity to expand health coverage for thousands of residents most in need. The Affordable Care Act allows states to extend Medicaid coverage to all adults who earn less than 138 percent of the federal poverty line—$15,415 for an individual or $31,810 for a family of four.

    Expanding health care coverage will be good for our state’s economy. In addition to reducing costs from uncompensated care, the federal government will pay at least 90 percent of Medicaid costs in states that expand coverage—an increase from the 50 percent we currently receive. That means our state will receive [$x – refer to state fact sheet for federal government contribution] in federal contributions for the [$y – refer to state fact sheet for state contribution] we spend.

    I’m working with other patient advocacy groups across the country to encourage our state legislatures to expand health care coverage through Medicaid. Here in [name of state], [$z – refer to state fact sheet for number of individuals covered by expansion] more people could have health care. I urge our elected officials to expand coverage, and learn more at