ADEA State Update

Reports of Interest - June 2017

(Medicare and Medicaid, HHS, ACA, Funding, Reports of Interest, CHIP) Permanent link   All Posts

HealthCareReformMarkerThe 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 Program (CHIP).
  • National Health Service Corps funding.  


RuralThe Georgetown 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:

  • Medicaid 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 in services.
  • The 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).
  • The 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.  
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