Medicaid Expansion: A Win for WV Families

On May 2, Governor Tomblin held a press conference at St. Francis Hospital to announce  that West Virginia will be expanding the Medicaid program under the Affordable Care Act to cover families up to 138% of the Federal Poverty Line. The Affordable Care Act (ACA) 'is aimed at increasing the rate of health insurance coverage for Americans and reducing the overall costs of health care. It provides a number of mechanisms—including mandates, subsidies, and tax credits—to employers and individuals to increase the coverage rate." The ACA
  • Creates premium subsidies for low income individuals
  • Enables consumers with pre-existing conditions to access private health insurance through guarantee issue
  • Expands coverage of dependents to age 26
  • Requires comprehensive benefit threshold in private market
  • Mandates citizens to have health insurance or face tax penalties
  • Mandates large businesses to provide coverage or face tax penalties
  • Gives states a choice as to whether to extend Medicaid to individuals between the ages of 19 and 64 who make from 17% to 138% of the FPL.

What Does This Mean to You?

What this basically boils down to is that low income working families including adults will be able to access health care.  It means if your yearly income is 138% of the FPL or lower then you can receive Medicaid.  You do not have to worry about being fined or penalized under the ACA for not having health insurance. It means a family of four that makes below $2,709 per month will now get insurance.  It means that a single childless adult who makes below $1,322 per month will now get insurance. Enrollment starts Oct 1, 2013 and coverage starts January 2014.   View the Governor's announcement HERE Download the Governor's powerpoint HERE.

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