Oregon, Kentucky dust off an Obama-era policy to expand health insurance

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Oregon, Kentucky dust off an Obama-era policy to expand health insurance
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There's a growing concern that the looming end of the Covid-19 public health emergency could result in millions of people being kicked off Medicaid.

released a rule in the spring of 2014 creating the basic health program, Minnesota and New York jumped on it. Both had state-run programs that covered people who did not qualify for Medicaid, so the new policy amounted to a giant federal subsidy for plans they already had in place.

For instance, a 40-year-old making about $26,000 a year would have had to pay about $140 in monthly premiums for the second-lowest cost silver plan before Congress boosted marketplace subsidies last year, according to the“There was a dawning realization that the coverage just wasn’t as affordable as it needed to be,” said Jennifer Tolbert, the foundation’s director of state health reform. “It’s a good option, but there were many people who just simply couldn’t afford the coverage.

At the beginning of the pandemic, Congress prohibited states from removing people from the Medicaid rolls even if their income increased. Oregon’s uninsured rate dropped from 6 percent in 2019 to a record low of 4.6 percent in 2021. The uninsured rate for Black Oregonians fell from 8 percent to 5 percent.

The Kentucky State Capitol is pictured. In Kentucky, Republicans approved $4.5 million in state funds this spring to set up a basic health program, which was signed into law by the state’s Democratic governor. | Timothy D. Easley/AP Photo

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