The economic downturn caused by the coronavirus pandemic has renewed attention on health insurance coverage as millions have lost their jobs and potentially their health coverage. Following the ACA, the number of uninsured nonelderly Americans declined by 20 million, dropping to an historic low in However, beginning in , the number of uninsured nonelderly Americans increased for three straight years, growing by 2. Texas , a case supported by the Trump administration that seeks to overturn the ACA in its entirety. A decision by the Court to invalidate the ACA would eliminate the coverage pathways created by the ACA, leading to significant coverage losses. Although the number of uninsured has likely increased further in , the data from provide an important baseline for understanding changes in health coverage leading up to the pandemic.
Preparing for 2019 ACA Reporting Starts Now!
Preparing for ACA Reporting Starts Now! - ACA-Track™
Congress may withhold from states refusing to comply with the ACA's Medicaid expansion provision only the additional funding for Medicaid provided under the ACA. National Federation of Independent Business v. Sebelius , U. The Supreme Court, in an opinion written by Chief Justice John Roberts , upheld by a vote of 5 to 4 the individual mandate to buy health insurance as a constitutional exercise of Congress's taxing power. A majority of the justices, including Chief Justice Roberts, agreed that the individual mandate was not a proper use of Congress's Commerce Clause or Necessary and Proper Clause powers, though they did not join in a single opinion. A majority of the justices also agreed that another challenged provision of the Act, a significant expansion of Medicaid , was not a valid exercise of Congress's spending power as it would coerce states to either accept the expansion or risk losing existing Medicaid funding.
ACA exam results published
In anticipation of higher revenues from patient care, the ACA calls for reductions in Medicaid Disproportionate Share Hospital DSH payments that support hospitals that serve a large number of Medicaid and uninsured patients to help cover the costs of uncompensated care. DSH cuts were scheduled to begin in but were delayed to FY While many people are focusing on how these changes affect public hospitals and large urban safety net systems, many not-for-profit hospitals that have a strong tradition and mission of caring for underserved populations also may be affected. The size of the impact on specific hospitals will depend, among other factors, on whether hospitals are located in states that expanded Medicaid coverage through the ACA.
The ACA's major provisions came into force in By , the uninsured share of the population had roughly halved, with estimates ranging from 20 to 24 million additional people covered. After it went into effect, increases in overall healthcare spending slowed, including premiums for employer-based insurance plans. The increased coverage was due, roughly equally, to an expansion of Medicaid eligibility and to changes to individual insurance markets.