• BBB Act

    BBB Would Reduce Disproportionate Share Hospital Payments in Non-Expansion States

    Filling the Medicaid coverage gap would lower uncompensated care costs, so the Build Back Better Act would cut disproportionate share hospital payments and limit uncompensated care pools in non-Medicaid expansion states. We explain the policy and examine the potential implications.
  • Uninsured Children

    How Could the Build Back Better Act Affect Uninsured Children?

    The vast majority of the 4.3 million uninsured children in the U.S. are already eligible for Medicaid or CHIP. Most of the millions of uninsured kids are school-aged and U.S. citizens. A disproportionate share are children of color and children in poverty. Nearly 78 percent have at least one full-time worker in their family, highlighting that many live in families with lower income workers who likely don’t get health coverage via their jobs. We review who makes up this population and examine how new federal policies and the Build Back Better act could get them covered.
  • Coverage Gap

    Taking A Closer Look At Characteristics of People in the Coverage Gap

    Twelve states have not adopted the ACA Medicaid expansion to adults with incomes through 138% of poverty, leaving 2.2 million people in the coverage gap. They would be eligible for Medicaid if their state adopted the expansion but currently do not qualify for Medicaid and have incomes below poverty, making them ineligible for subsidies in the ACA Marketplace. As policy makers debate whether and how to extend coverage to people in the gap, understanding the characteristics of this group can help inform policy decisions.
  • Remaining Uninsured

    A Closer Look at the Remaining Uninsured Population Eligible for Medicaid and CHIP

    Our analysis shows that a majority of the 27.4 million people who remained uninsured in 2020 already are eligible for financial assistance for coverage through Medicaid/the Children’s Health Insurance Program (CHIP) or the Marketplace, suggesting that policies in the Build Back Better Act as well as outreach for the current ACA open enrollment period could help reduce that number. That group includes more than 10 million people who qualify for subsidized plans in the Marketplace and 7 million who are eligible for Medicaid or CHIP.
  • OPen Enrollment

    Efforts to Increase Marketplace Enrollment During Open Enrollment Could Boost Medicaid Coverage, Too

    Efforts to let people know about ACA Marketplace coverage during the annual ACA open enrollment period may also reach some of the 7 million uninsured individuals who are eligible for Medicaid. In a special open enrollment period earlier in 2021, more than half a million people who applied for Marketplace coverage were found eligible for Medicaid. Under the ACA, states must provide a single application for Medicaid, CHIP, and Marketplace coverage, thereby establishing a “no wrong door” application process for ACA coverage.

Browse the Latest from KFF

The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/kff

Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.