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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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shared stories Janice from SC
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 Thu, Aug, 17 Court Finds Ark. Can Keep Medicaid Funding From Planned Parenthood The decision, reversing earlier lower court injunctions, was issued by the 8th Circuit Court of Appeals. Source: kaiser health news Thu, Aug, 17 Feds Want Texas To Pay $18.9M Back To Medicaid For Improper School Health Services Bills Reimbursement requested by the Texas Health and Human Services Commission between 2010 and 2011 were not “reasonable, adequately supported, and otherwise allowable” for some school-based health services, according to an Inspector General's report. Meanwhile, Kansas' privatized Medicaid sytem ran... Source: kaiser health news Wed, Aug, 16 Georgia Medicaid Director And Aide Leave; State Officials Offer No Explanations Linda Wiant’s departure appeared to come suddenly and followed the exit of a deputy, Marcey Alter, earlier in the week. News outlets also report on the trial involving the Mississippi Medicaid director and developments in New Hampshire and Maine. Source: kaiser health news Tue, Aug, 15 Funding For N.H.’s Medicaid Expansion Now In Jeopardy The federal Centers for Medicare & Medicaid Services informed New Hampshire Gov. Chris Sununu that a fund helping to pay expansion costs, which is partially supported by voluntary donations from hospitals, violates federal law. Meanwhile, federal officials approved changes that will allow Nebras... Source: kaiser health news Mon, Aug, 14 SpaceX Cargo Mission Demonstrates Increasing Research on Space Station A successful cargo launch by SpaceX, the company’s 12th such mission to the international space station, highlights the steady expansion of scientific research on the orbiting laboratory. Source: wall street journal Mon, Aug, 14 SpaceX Cargo Mission Demonstrates Increasing Research on Space Station An unmanned SpaceX mission scheduled to blast off Monday highlights the expansion of research on the international space station: the cargo includes nearly two dozen ambitious experiments. Source: wall street journal Mon, Aug, 14 House Expected To Hold Hearings On ‘Right-To-Try’ Bill That Senator Tied To FDA Funding The Senate quickly passed the bill that would allow dying patients access to experimental drugs after Sen. Ron Johnson (R-Wis.) had threatened to slow down consideration of a separate bill to renew the FDA’s fee-collection authority. In other drug industry news, the FDA is implementing new rules a... Source: kaiser health news Mon, Aug, 14 Illinois Halves Number Of Insurers In Overhaul Of Medicaid Managed Care Program The more than 500,000 state residents who were in the six plans that are no longer participating will have to switch insurers. Also in Medicaid news, an Iowa woman ties changes in the program there to her husband's death, complaints about Mississippi's program and Maine prepares for a referendum on ... Source: kaiser health news Mon, Aug, 14 Climbing Cost Of Decades-Old Drugs Threatens To Break Medicaid Bank Medicaid spent billions more in 2016 than the year before on decades-old prescription drugs, including many generics, a Kaiser Health News data analysis shows. Source: kaiser health news Fri, Aug, 11 Republican Candidates For Colo. Governor Say Medicaid Costs Are Unsustainable Three candidates seek to make Medicaid's budget a key campaign issue. In other Medicaid news, talks between Iowa officials and the managed care companies there appear to have bogged down but no one is talking about what the problem is, and two insurance companies have filed suit in Mississippi over ... Source: kaiser health news


What's Happening?

Under the new health reform law, any low-income adults could gain access to federally-funded health care coverage through Medicaid. Each state determines who is eligible for health care under Medicaid; in most states, people who qualify must have a low income and either be under the age of 18, pregnant or have specific diseases. The health reform law gives each state the option to accept federal funding for health coverage and increase access to health care for all people who earn less than 138 percent of the federal poverty level ($14,856 for an individual and $30,657 for a family of four in 2012).

Currently, the costs of Medicaid coverage are split evenly between states and the federal government. If states choose to expand health care coverage for their citizens, the federal government will reimburse 100 percent of states' Medicaid costs until 2016, and 90% of states’ costs until 2020. This means federal funds will pay the majority of costs for coverage!

Who are we?

Coverage Counts was created by patient advocacy organizations representing many disease types. We have come together to provide resources to those who believe that using federal funds to expand health care coverage is good for their state's health and economy.

The coalition was convened by the Regulatory Education and Action for Patients (REAP) council -- an umbrella coalition comprised of 63 patient advocacy groups whose mission is to communicate to federal and state policymakers the challenges patients face in accessing care. REAP was founded by the National Patient Advocate Foundation in 2010. REAP’s collective voice assures a wide range of patient concerns are considered in policy development to maximize care access and improved outcomes as well as minimize unintended consequences upon implementation. REAP, through its member entities, contributes information and perspectives regarding important health care decisions to a degree that has not been possible heretofore by health care advocacy groups in the regulatory arena.

What are we going to do?

We will tell state legislators why increasing the number of people with health care coverage is good for the health of their constituents and for their state's economy. As patients, caregivers and providers, we have seen firsthand that coverage counts. We will educate ourselves and take action to ensure the well being of our states and the people who reside in them.

For additional resources regarding the impact of expanding health care coverage in specific states please download the comprehensive report, “The Cost and Coverage Implications of the ACA Medicaid Expansion,” put out by the Kaiser Family Commission, here. Or read more about The Kaiser
Commission's analysis here.

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