The changes enacted by the Patient Protection and Affordable Care Act are designed to substantially increase health insurance coverage. The authors analyze the health care reforms to assess the potential for increased insurance coverage among persons with disabilities. They estimate that approximately 2 million persons with disabilities will be newly insured; however, they also find a probable unintended consequence of the health care reforms: that some persons with disabilities will lose their current Medicaid coverage. The article outlines policy changes that would prevent this unintended consequence before full implementation of the changes in 2014.
BaumruckerE. P. (2010). Medicaid: The Federal Medical Assistance Percentage (FMAP). Washington, DC: Congressional Research Service. Retrieved from http://aging.senate.gov/crs/medicaid6.pdf
3.
BruenB. K.WienerJ. M.ThomasS. (2003). Medicaid eligibility policy for aged, blind and disabled beneficiaries. Washington, DC: The Urban Institute. Retrieved from http://assets.aarp.org/rgcenter/health/2003_14_abd.pdf
ChaikindH.FernandezB.NewsomM.PetersonC. L. (2010). Private Health Insurance Provisions in PPACA (P.L. 111–114). Washington, DC: Congressional Research Service. Retrieved from http://bingaman.senate.gov/policy/crs_privhins.pdf
6.
CoughlinT. A.ZuckermanS. (2008). State responses to new flexibility in Medicaid. Milbank Quarterly, 86, 209–240. Retrieved from http://www.milbank.org/quarterly.html
GettensJ.MitraM.HenryA. D.HimmelsteinJ. (in press). Working-age persons with disabilities share in the gains of the Massachusetts health reform. Inquiry.
HansonK. W.NeumanP.DutwinD.KasperJ. D. (2003). Uncovering the health challenges facing people with disabilities: The role of health insurance. Health Affairs, 22, w552–w565. doi:10.1377/hlthaff.w3.55210.1377/hlthaff.w3.552
12.
Internal Revenue Code of 1986 Amendments. (2010). § 36B.
13.
KehnM.CroakeS.SchimmelJ. (2010). A government performance and results (GPRA) report: The statues of the Medicaid infrastructure grants program as of 12/31/09. Washington, DC: Mathematica Policy Research. Retrieved from http://www.mathematica-mpr.com/publications/pdfs/disability/GPRA_09.pdf
14.
LongS. K.StockleyK.YemaneY. (2009). Another look at the health reform in Massachusetts: Evidence using new data and a stronger model. American Economic Review: Papers & Proceedings, 2009, 99, 508–511. doi:10.1257/aer.99.2.50810.1257/aer.99.2.508
15.
Medicaid Program; Premiums and Cost Sharing; Final Rule, 75 Federal Register 30244. (2010a). (to be codified at 42 C.F.R. § 447 and 457).
16.
Medicaid Program; State Flexibility for Medicaid Benefit Packages, 75 Federal Register 23068. (2010b). (to be codified at 42 C.F.R. § 440).
17.
Patient Protection, & Affordable Care Act, § 2001 (2010a).
18.
Patient Protection, & Affordable Care Act, § 1402 (2010b).
19.
Patient Protection, & Affordable Care Act, § 1302 (2010c).
20.
Patient Protection, & Affordable Care Act, § 1311 (2010d).
21.
Patient Protection, & Affordable Care Act, § 2101 (2010e).
SmithV. K.GiffordK.EllisE.RudowitzR.SnyderL. (2010). Hoping for economic recovery, preparing for health reform: A look at Medicaid spending, coverage and policy trends results from a 50-state Medicaid budget survey for state fiscal years 2010 and 2011. Washington, DC: The Kaiser Family Foundation. Retrieved from http://www.kff.org/medicaid/upload/8105.pdf
24.
Social Security Act Amendments, 42 U.S.C. § 1396 (2010a).
25.
Social Security Act Amendments, 42 U.S.C. § 1382 (2010b).
SommersB. D.RosenbaumS. (2011). Issues in health reform: How changes in eligibility may move millions back and forth between Medicaid and insurance exchanges. Health Affairs, 30, 228–236. doi:10.1377/hlthaff.2010.100010.1377/hlthaff.2010.1000
VladeckB. C. (2003). Where the action really is: Medicaid and the disabled. Health Affairs, 22, 90–100. doi:10.1377/hlthaff.22.1.9010.1377/hlthaff.22.1.90
