State opposition to Medicaid expansion will leave five million poor Americans without health cover, report says

BMJ 2013; 347 doi: (Published 17 October 2013) Cite this as: BMJ 2013;347:f6305
  1. Michael McCarthy
  1. 1Seattle

The refusal of states to expand Medicaid under the provisions of the Affordable Care Act means that more than five million poor adults will not qualify for Medicaid or for subsidies offered on the new health insurance exchanges, says a new report.1

The report was prepared by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured.

Under the health reform act Medicaid was to be expanded in 2014 to cover individuals and families with household incomes up to 138% of the federal poverty line, about $27 000 (£16 790; €19 816) for a family of three.

Currently, …

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