Medicaid

A few weeks ago I noted that, thanks to California Governor Gavin Newsom and the Democratically-controlled state legislature finally reaching a compromise agreement on how to allocate ~$330 million/year in revenue generated by the state's individual mandate penalty, around $83 million will be utilized to dramatically reduce out of pocket expenses for hundreds of thousands of ACA exchange enrollees.

Via Amy Lotven of Inside Health Policy:

via MNsure:

ST. PAUL, Minn.—As roughly 1.5 million Minnesotans who currently have Medical Assistance (Minnesota’s Medicaid program) or MinnesotaCare coverage are scheduled to go through the eligibility renewal process over the next year, some will find out they are no longer eligible for these public health care programs and need to find new health insurance. Minnesota’s official health insurance marketplace, MNsure, is here to help those Minnesotans find new coverage.

“If you learn you no longer qualify for Medical Assistance or MinnesotaCare coverage, you may have more health insurance options than you think,” said MNsure CEO Libby Caulum. “MNsure is here to help you and your family understand your options, apply for discounts to save money on monthly premiums, and make a smooth transition to a private health plan if you’re eligible. We can help you find new coverage so you can keep getting the care you need.”

Last month I posted an explainer about a situation in California which boiled down to a huge pot of extra revenue (~$330 million per year, give or take) being fought over between Governor Gavin Newsom and the Democratically-controlled State Legislature.

The bottom line is that this funding was intended to go towards reducing health insurance premiums for ACA exchange enrollees via Covered California as supplemental subsidies to be added on top of federal ACA tax credits...but the passage of the American Rescue Plan and the subsequent Inflation Reduction Act kind of made that moot, since the federal subsidies were made more generous than what the state subsidies would have been anyway.

As a result, Gov. Newsom decided that the extra revenue should go into the general state fund, while Democrats on the state legislature wanted to redirect it to eliminate deductibles and other types of cost sharing for ACA enrollees instead. This led to an impasse for the past several months:

New York

via New York State of Health:

June 30, 2023

Governor Kathy Hochul today encouraged eligible New Yorkers to renew their health insurance coverage as insurance renewal deadlines rapidly approach. The Governor also issued a public service announcement to get the message out to New Yorkers.

Connecticut

via Access Health CT:

These free, in-person events will take place in Bridgeport, East Hartford, Middletown and Torrington

HARTFORD, Conn. (June 27, 2023) — Access Health CT (AHCT) today announced it will host four free, in-person enrollment fairs in July and August to help HUSKY Health enrollees who have been affected by recent legislation. The events will take place in Bridgeport, East Hartford, Middletown and Torrington. HUSKY Health is Connecticut’s Medicaid program.

Medicaid Unwinding is a term the federal government is using to describe the process of resuming reviewing households for Medicaid eligibility after a three-year hiatus during the Public Health Emergency. The eligibility redetermination process resumed April 1.

Connecticut residents that remain eligible for HUSKY Health will likely be automatically reenrolled; those that need to take action will receive mail with instructions.

During this springs Congressional kabuki theater regarding raising the federal debt ceiling, one of the biggest points of contention was House Republicans insistence on tying work requirements (w/stringent reporting) to Medicaid eligibility.

"Work requirements" is as old a saw for Republican politicians as "selling insurance across state lines," and it's just as ineffective and counterproductive (as well as simply being cruel). This debate has been held numerous times before, and the upside of such requirements has been debunked repeatedly, but here he go again:

As Joan McCarter of Daily Kos put it way back in 2015:

Medicaid Unwinding

A month ago I posted a post which included a very incomplete, rudimentary look at just how many Americans had lost Medicaid or CHIP coverage due to the ongoing Medicaid Unwinding process playing out nationally, based on initial data reported by Joan Alker, Executive Director of the Center for Children & Families at the Georgetown University Health Policy Institute:

...data is only available for 8 states so far; for another, the data from those states is a mish-mash, clearly broken out in some but only partial in others, and some only include percentages instead of hard numbers.

Even so, you can already see that at least 258,000 people have lost Medicaid coverage due to paperwork/clerical issues in just Arkansas and Florida alone...in just the first two months of the unwinding process.

New York

via the Centers for Medicare & Medicaid Services (CMS):

Thanks to the Biden-Harris Administration’s efforts to strengthen maternal health, an estimated 509,000 Americans annually are now eligible for essential care for a full year after pregnancy.

Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced New York’s extension of comprehensive coverage after pregnancy through Medicaid and the Children’s Health Insurance Program (CHIP) for postpartum individuals for a full 12 months.

via the Pennsylvania Dept. of Human Services website:

Erie, PA - Pennsylvania Department of Human Services (DHS) Acting Secretary Dr. Val Arkoosh and Pennie® Director of External Affairs Chachi Angelo joined representatives from Community Health Net today to highlight how the Shapiro Administration, Pennie, and local health centers are collaborating to support Pennsylvanians through federal changes to Medicaid and CHIP renewal requirements so they can protect their health and stay covered.  

“Everyone deserves the dignity and peace of mind of having access to affordable, high-quality, local health care and knowing they can go to the doctor when they need it. DHS’ goal throughout the renewal process is to make sure that all Pennsylvanians stay covered,” said Acting Secretary Arkoosh. “I urge all Pennsylvanians who get their health coverage through the state Medicaid program to be on the lookout for communications from DHS about your renewal, and to make sure you complete it on time when it’s your turn to renew.”  

via Connect for Health Colorado:

Colorado’s Marketplace Offers Free Enrollment Help and Low-Cost Health Plans

DENVER— For the first time in more than three years, Coloradans who are no longer eligible for Health First Colorado (Colorado’s Medicaid program) or Child Health Plan Plus (CHP+) will start to lose their coverage.

Why Coloradans Might Lose Health First Colorado (Colorado’s Medicaid Program)

This change was the result of federal legislation passed in winter of 2022: the Omnibus bill, otherwise known as the Consolidated Appropriations Act. It included a provision to end the requirement for states to keep individuals covered by Medicaid during the COVID-19 Public Health Emergency. 

The Department of Health Care Policy & Financing (HCPF) estimates that more than 325,000 current members will no longer be eligible for Health First Colorado coverage following their annual eligibility review. These eligibility reviews will be done in the anniversary month of when the person enrolled.

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