A record 477,493 Ohioans will be enrolled in health insurance marketplace plans in 2024 under The Affordable Care Act Centers for Medicare and Medicaid Services.This is from last year’s reportrecords show only 294,644 Ohioans are enrolled in the program, with even more starting in 2022, when 259,999 registered.
The increase in enrollment in Ohio is an example of a larger trend across the country. On January 24, the Centers for Medicare and Medicaid Services announced: During the open enrollment period, 21.3 million people across the country chose the Marketplace plan. Among them, 16 million people renewed their policies and 5 million were new users.
“Once again, a record number of Americans have signed up for affordable health insurance through the Affordable Care Act’s marketplaces, and now they and their families have the peace of mind that coverage brings,” said Department of Health and Human Services (HHS) Secretary Xavier Becerra said. “The Affordable Care Act remains a successful, popular and important federal program for millions of people and their families. As we celebrate the success of recent enrollment efforts, the U.S. Department of Health and Human Services will redouble its efforts to expand the Biden-Harris Administration’s efforts to increase access to quality care and reduce costs. “
What is the Affordable Care Act?
The Affordable Care Act, also known as Obamacare, passed in 2010, was designed to make health care more affordable for Americans in need. Provides subsidies to families whose average income is below the federal poverty level, and Medicaid expanded to include all adults with incomes below 138 percent of the poverty level. Under the Affordable Care Act, states that refuse to expand Medicaid will see Medicaid funding cut at the federal level.The bill also includes Protection of healthcare customerswhich prevents insurance companies from denying or charging customers with “pre-existing conditions,” meaning health problems that existed before someone’s health coverage began.
What is a market?
Created by the Affordable Care Act of 2010, Marketplace is “health insurance market”, Medicare Enrollment Services. Through its website, call center and self-service, the Marketplace allows customers who typically do not have insurance to purchase affordable health plans. Based on income and household information, Marketplace applicants may qualify for tax credits to obtain More affordable health insurance, or get coverage through programs like Medicaid and CHIP.
How have countries responded?
2012, The U.S. Supreme Court ruled in a 5-4 vote The Affordable Care Act is constitutional. “The Affordable Care Act requires certain individuals to pay a financial penalty for not obtaining health insurance, which can reasonably be described as a tax“,” Chief Justice John Roberts wrote in the court’s majority opinion. “Because the Constitution permits such a tax, we have no duty to prohibit it or to pass on the wisdom or fairness of it.” ”
However, the Supreme Court also ruled 7-2 that the ACA is mandatory and the federal government cannot withdraw Medicaid funding if states choose not to expand Medicaid coverage.
Justice Roberts also wrote: “A state’s overall budget could suffer a loss of more than 10 percent, which would cause an economic drag and leave states with no choice but to acquiesce in Medicaid expansion.”
Since this ruling, only ten states Choosing not to expand Medicaid coverage, North Carolina—ever recalcitrant— Expanded coverage in December last year. Of the states that have rejected Medicaid expansion, all governors are either Republicans or have Republican majorities in state legislatures.
How does the Affordable Care Act affect Ohio?
republican governor John Kasich pushes for Medicaid expansion The policy took effect a year later in 2013 despite protests from Republican lawmakers over Kasich’s decision. 54,000 The Ohio native joined the program in 2014 and 234,507 people registered or renewed their membership one year later.
According to research conducted by the agency Center on Budget and Policy Priorities The Affordable Care Act’s Medicaid expansion, released in 2019, saved an estimated 19,200 lives of adults ages 55-64 from 2014 to 2017, including 1,452 Ohioans.
“The life-saving impact of Medicaid expansion has been dramatic: It is estimated that annual mortality among older adults receiving Medicaid is reduced by 39 to 64 percent,” the study’s authors wrote.
At the same time, analyze From a 2018 Ohio Policy Matters release stated that approximately 54,000 jobs in Ohio are directly supported by the state’s Medicaid expansion and has increased disposable income for Ohio citizens by $2.7 billion.
“Ohio’s Medicaid expansion provides 691,8036 working-age people with access to health care. A recent evaluation of the program confirms that access to health care improves health outcomes, including early diagnosis and timely treatment of chronic diseases,” Ohio Policy Affairs researchers Wendy Barton and Amanda Woodrum write.
However, last year, 609,517 Ohioans lose Medicaid coverage After COVID-19 protection measures ended in April, 73% of people were deregistered for procedural reasons.other 86,000 Ohio children lost Medicaid last year, leading U.S. Health and Human Services Secretary Becerra to send a letter to Gov. Mike DeWine saying: “Your state is one of nine states with the highest number or highest percentage of children losing Medicaid or CHIP coverage since the full eligibility updates for these programs restarted this spring“.
How did Ohio politicians react?
All three candidates in the Republican Senate primary have expressed opposition to the Affordable Care Act. “The Affordable Care Act has zero relationship to affordability”, wrote Bernie Moreno in a Twitter post on July 27, 2022.
Frank LaRose tweets June 28, 2012 He’s “disappointed” with Supreme Court’s ACA ruling, writes “Medicaid costs in Ohio can run into the billions of dollars, and taxes for MDL categories have risen significantly. ”
Matt Dolan’s campaign website states that Obamacare “Ill-conceived, poorly executed, it has become a tool of partisan fraud“.
Ohio Democratic Sen. Sherrod Brown voted for the Affordable Care Act and has consistently voted against efforts to repeal it.
Donald Trump, the Republican front-runner for the 2024 presidential nomination, tried unsuccessfully to repeal the Affordable Care Act during his first administration and has vowed to repeal it if he wins in 2024 bill.
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