Issue: aca

The Deep Divide: State Borders Create Medicaid Haves And Have-Nots

State borders have become arbitrary dividing lines between Medicaid’s haves and have-nots, with Americans in similar financial straits facing vastly different health care fortunes. This affects everything from whether diseases are caught early to whether people can stay well enough to work. It wasn’t supposed to be this way. The ACA, passed in 2010, called for extending Medicaid to all Americans earning up to 138% of the federal poverty level, around $17,000 annually for an individual. But the U.S. Supreme Court in 2012 let states choose whether to expand Medicaid.

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Federal Appeals Court Takes Up Case That Could Upend U.S. Health System

The fate of the Affordable Care Act is again on the line, as a federal appeals court in New Orleans takes up a case in which a lower court judge has already ruled the massive health law unconstitutional. Not only would such a decision immediately affect the estimated 20 million people who get their health coverage through programs created under the law, ending the ACA would also create chaos in other parts of the health care system that were directly or indirectly changed under the law’s multitude of provisions.

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Association Insurance Pushes On Despite Court Ruling

The Trump administration in June issued rules making it easier for small employers to band together to buy health insurance through an association health plan, which doesn’t have to meet all the rules of the Affordable Care Act. In the first legal test, however, U.S. District Judge John Bates at the end of March sided with 11 states and the District of Columbia challenging the law. He invalidated a large chunk of those June rules, saying the administration issued them as an “end-run around the Affordable Care Act.” So what now?

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