journal
The health insurance gap after implementation of the Affordable Care Act in Texas
H
ouseholds with incomes between 18% and 99% of the federal poverty level (FPL) are ineligible for Medicaid or enrollment in the health insurance exchange marketplace in Texas, resulting in the health in- surance gap. We sought to determine the number of non-elderly adult Texans (NEATs) aged between 18 and 64 years in the insurance gap in rural vs urban areas in East Texas, West Texas, and South Texas. Data were ob- tained from the US Census Bureau website. In 2014, there were 1,101,000 NEATs in the insurance gap, accounting for 24.5% of all uninsured persons in Texas. The gap was significantly higher in rural vs urban areas in East and South Texas and in Texas as a whole. Large coverage gaps in states like Texas not expanding Medicaid under the Affordable Care Act pose major hurdles to reducing the number of uninsured individuals in these states.
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March 2017
BY GORDON GONG, MD, MS; CASSANDRA C. HUEY, MS; COLEMAN JOHNSON, JD; DEBRA CURTI, MED, RHIA; AND BILLY U. PHILIPS JR, PHD, MPH
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March 2017 TEXAS MEDICINE 55
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