State Estimates of Uninsured Under Reform Higher than Thought
March 20—A significant number of Americans will be excluded from Medicaid expansion due to immigration status, especially in certain states, according to an industry study.
Estimates that do not take into account an individual’s immigration status will overestimate the population eligible for coverage under the expansion, concludes the study, State Estimates of the Low-Income Uninsured Not Eligible for the ACA Medicaid Expansion, published by the Robert Wood Johnson Foundation.
After health reform, safety-net healthcare providers likely will continue to be key providers for this population—low-income, uninsured nonelderly adults who are unauthorized immigrants or recent legal immigrants and thus generally ineligible for Medicaid benefits during their first five years of legal residence. Safety-net providers in states with large numbers of immigrants ineligible for Medicaid will face a particularly difficult challenge, the study says.
States with the highest estimated percentage of immigrants in this category, according to the study, are Nevada (34 percent), Arizona (31), Texas (26), and California (26).
Publication Date: Wednesday, March 20, 2013