Snap Fact #143

Post date: Mar 27, 2012 8:47:24 PM

Snap Fact #143

President Obama’s Affordable Health Care Act Benefits Medicaid Beneficiaries!

President Obama’s Affordable Health Care Act Benefits Medicare Beneficiaries!

Yesterday we looked at how the imperfect Affordable Health Care Act impacts positively on America's youth. Today we will see how Medicaid Beneficiaries fare under the Act.


1. Protection for Medicaid enrollees

The Affordable Health Care Act included a "Maintenance of Effort" provision prohibiting states from cutting eligibility for adults until 2014 and children until 2019. If states do not comply, they can be sanctioned and lose all federal Medicaid funding. This provision has protected the Medicaid coverage of millions of individuals who would otherwise have lost Medicaid as states sought to reduce spending. With municipal proceeds scarce, some Republican Governors sought to put the financial burden on those who can least afford it. This provision postponed that action until a Democratic Congress could improve the compromise Bill that the Right Wing destructively refers to as Obama Care. 

2. More preventive care

The Affordable Health Care Act includes numerous provisions which expand access to preventive services. For example, the Act has already distributed "Medicaid Incentives for Prevention of Chronic Disease" grants for states to engage in diabetes prevention, cholesterol and blood pressure screening, and tobacco cessation. Starting in 2013, Medicaid preventive benefits will include a broader array of services and states will receive increased federal funding if they provide these services without cost-sharing. 

Another provision requires that, starting in 2014, many Medicaid enrollees will receive some services that may be new to Medicaid, such as habilitative services, and will have access to a wide range of women's health services.  


3.  Medicaid expansions

Starting in 2014, the Affordable Health Care Act creates a new Medicaid eligibility category covering nearly all uninsured individuals living under 138% of the federal poverty level. Sixteen million people will be newly eligible for Medicaid. The Act also creates other options for states including expanding family planning services, providing new home and community based services and programs, and offering other services for higher income individuals not otherwise eligible for Medicaid 

4. Better access to primary care providers

The Affordable Health Care Act will substantially increase the Medicaid payment rates in 2013 for certain primary care providers (internal medicine, family medicine and pediatrics). These providers will get the higher Medicare payment rate for primary care services. This provision will help improve access to primary care providers for enrollees and support the safety-net providers who take care of underserved populations. 

5. Improved enrollment processes

The Affordable Health Care Act heavily invests in simplifying the process of enrolling in health care. Starting in 2014, states must have one streamlined application process for all health care programs, including Medicaid and private exchange insurance plans including available subsidies. The Act also provides start-up funding for state consumer assistance programs and health care navigators to ensure that every individual receives help understanding her options and getting enrolled.