The ACA Medicaid Expansion Waiver in the Keystone State: Do the Medically Uninsured 'Got a Friend in Pennsylvania'?

Medicaid is fundamental to near universal health insurance coverage under the 2010 Affordable Care Act (ACA). Its goal of broadening the program to all households with income at or below 138 percent of the federal poverty level was thwarted in 2012 by a Supreme Court decision that allowed the states...

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Publicado en:Journal of Health Politics, Policy & Law Vol. 40; no. 3; pp. 599 - 612
Autor principal: Katz Olson, Laura
Formato: Journal Article
Publicado: Duke University Press Jun2015
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The ACA Medicaid Expansion Waiver in the Keystone State: Do the Medically Uninsured 'Got a Friend in Pennsylvania'?
      aug:
        au: Katz Olson, Laura
        affil: Lehigh University
      sug:
        subj:
          Patient Protection and Affordable Care Act
          Medicaid Legislation and Jurisprudence
          Health Care Reform Legislation and Jurisprudence
          Medically Uninsured Legislation and Jurisprudence
          State Health Plans Legislation and Jurisprudence
          Health Policy
          Politics
          United States
          Pennsylvania
          Poverty
          State Government
          Federal Government
          Health Insurance Exchanges
          Managed Care Programs
          Insurance Coverage
          Health Resource Utilization
          Health Care Costs
          Hospitals
          Insurance Carriers
          Lobbying
          Policy Making
      ab: Medicaid is fundamental to near universal health insurance coverage under the 2010 Affordable Care Act (ACA). Its goal of broadening the program to all households with income at or below 138 percent of the federal poverty level was thwarted in 2012 by a Supreme Court decision that allowed the states to choose whether or not they would join. This essay seeks to assess the status of Pennsylvania with regard to the Medicaid expansion controversy. It briefly describes the Keystone State's existing Medicaid program and the potential impact of the ACA on its growth. It then discusses Governor Tom Corbett's market-based alternative and what he achieved in his deliberations with the Obama administration. The article also discusses some of the financial considerations facing Pennsylvania policy makers in the expansion decision, the role of three of the more influential lobby groups, and the problematic situation of the medically uninsured population.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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