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aca & medicaid expansion in sc

aca & medicaid expansion in sc. tonight’s talk. Background Hospital impact Human impact Economic impact Final thoughts. patient protection & affordable care act. On March, 23, 2010, the Patient Protection and Affordable Care Act was signed into law. supreme court.

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aca & medicaid expansion in sc

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  1. aca & medicaid expansion in sc

  2. tonight’s talk • Background • Hospital impact • Human impact • Economic impact • Final thoughts

  3. patient protection & affordable care act On March, 23, 2010, the Patient Protection and Affordable Care Act was signed into law

  4. supreme court • Ruled 5-4 on June 28, 2012 to uphold law • Individual mandate, exchanges, insurance rules and other programs still stand • Medicaid expansion is now optional for each state • Subsidies are available to individuals from 100% FPL and above if a state does not opt in

  5. The political question: what will states do?

  6. some background • January 1966. Only six states originally participated when the program launched: Hawaii, Illinois, Minnesota, North Dakota, Oklahoma, Pennsylvania • 20 states signed on later that year • 11 states joined in 1967 • 13 more states (southern) joined in 1968-1972 • Arizona last to join in 1982 • Eventually all states participated in basic program and SCHIP (enacted in 1997)

  7. who will benefit?

  8. who isn’t participating? 8 states officially not participating Primarily southern states including South Carolina All but one also not participating in a state-run insurance exchange

  9. state impact on hospitals

  10. the new coverage gap • Families of four making as much as $94,000 a year will receive subsidies to help buy health insurance • Many poor, uninsured South Carolinians would receive no coverage assistance through ACA if SC opts out of the Medicaid expansion • Parents in low income families of four making between $11,500 and $23,000 a year • Childless adults making under $11,000 a year • 65,000 uninsured citizens age 50-64

  11. the new coverage gap

  12. economic impact in sc

  13. USC economic impact report • SCDHHS estimates $11.2 billion in new federal funding will be generated between 2014 and 2020 due to newly eligible enrollees. • By 2020, the annual economic impact will total $3.3 billion in annual economic output, nearly 44,000 jobs, and approximately $1.5 billion in labor income. • This will translate into additional spending, leading to increases in SC general funds totaling $105.6 million by 2020.

  14. USC economic impact report • This increased tax revenue will completely offset the required state costs over the first seven years and generate a $9 million net surplus. • From 2020 forward after the federal match rate caps at $9 federal to every $1 state, new tax dollars will generate enough to cover 53% of the state required Medicaid match.

  15. how much will the medicaid expansion cost sc?

  16. despite the concerns, these facts remain: • SC hospitals will continue to care for uninsured patients; federal law requires them to do so. • The cost of that care must be paid by someone, and there are two options: • We can let the other states help pay 90% of it (they are offering to do so through Medicaid), or • We can absorb 100% of the costs within our borders. Which strategy will make SC more competitive?

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