The National Academy for State Health Policy
released a chart summarizing major
provisions included in the 2010 Affordable Care Act (ACA) and provisions
included in the most recent version of the American Health Care Act (AHCA) passed
by the House on May 4, 2017.
The chart compares key provisions
of the ACA with those in the House version of the AHCA, such as:
- Small employer tax credit.
- Children may remain on
their parents’ insurance until they reach age 26.
- Medicaid expansion.
- Medicaid funding.
- Children’s Health Insurance
Health Service Corps funding.
University Center for Children and Families (CCF) and the University of North Carolina NC Rural Health Research Program (NC
RHRP) have released a report examining how the role of Medicaid has
changed over time in 46 states with small-town and rural populations. The
report found the following:
covers a larger share of children and families in small towns and rural areas
than in large metropolitan areas. In 2014-2015, Medicaid provided health
coverage for 45 percent of children and 16 percent of adults in small towns and
rural areas, compared to 38 percent and 15 percent, respectively, in
metropolitan areas. In nearly all states, a larger share of children and adults
living in small towns and rural areas relies on Medicaid than those in
metropolitan areas—and is more likely to be affected by increases or decreases
Affordable Care Act’s Medicaid expansion is having a disproportionately
positive impact on small towns and rural areas. The rate of uninsured adults in
expansion states decreased 11 percentage points in the small towns and rural
areas of these states between 2008-2009 and 2014-2015. This is larger than the
decrease in metropolitan areas of expansion states (9 percentage points) and
larger than the decrease in small towns and rural areas in states that did not
accept the expansion (6 percentage points).
rate of uninsured children in small towns and rural areas has declined in the
vast majority of states (43 out of 46 states). Five states (Colorado, Nevada,
New Mexico, Oregon, and South Carolina) saw very large declines of at least 8
percentage points between 2008-2009 and 2014-2015. Three of these states
(Nevada, Oregon and South Carolina) had the largest percentage point increases
in children’s Medicaid coverage among small towns and rural areas.