Friday, August 21, 2009
KFF analysis: Key Questions about Changes for Medicaid and Low-Income Individuals: HR 3200 America’s Affordable Health Choices Act of 2009
This brief highlights some key questions about provisions related to Medicaid, the Children’s Health Insurance Program (CHIP), and provisions that affect low-income individuals included in HR 3200, the America’s Affordable Health Choices Act 2009 (the House Tri-Committee Bill). Key elements of the bill that affect Medicaid and low-income individuals include:
• Requirement that individuals have health insurance through a combination of public and private coverage expansions;
• Expansion of Medicaid to a national floor of 133% of poverty which would reduce state-by-state variation in eligibility for Medicaid and also include adults without dependent children who are currently not eligible for the program; expansions would be fully federally financed. Individuals with Medicaid above 133% of poverty would continue to be eligible;
• Increases in Medicaid provider payment rates for primary care services to 100% of the Medicare rates by 2012 with 100% federal financing for the increase;
• Elimination of the CHIP program and the transition of CHIP enrollees to the new health insurance exchange; and
• Subsidies for eligible low-income individuals not eligible for Medicaid to purchase health insurance in a new health insurance exchange.
A more detailed analysis of
these provisions compared to current law is found at the end of the brief.
Issue Brief (.pdf)