KY Policy Blog

New Amendment to Healthcare Repeal Bill Threatens Kentuckians with Pre-existing Conditions

By Dustin Pugel
April 27, 2017

The so-called “Meadows-MacArthur” amendment to the Affordable Care Act repeal bill does nothing to protect Kentuckians from the bill’s harmful changes, but makes things worse by jeopardizing coverage for people with pre-existing conditions. There are 1.8 million people in Kentucky under 65 who have some kind of pre-existing condition, which is 50 percent of the non-elderly population.

The amendment does not repeal what is called “guaranteed issue” (the requirement that insurers offer coverage to everyone, regardless of their medical history), but allows states to waive certain requirements, effectively gutting that read more

A County-by-County Look at Kentucky’s Dramatic Health Coverage Gains

By Dustin Pugel
April 27, 2017

As we’ve written before, Kentucky has seen a dramatic drop in those without health insurance in every county, especially since 2013. Using the same Census estimates starting the year the Affordable Care Act became law, it is clear that 2014, the first year of Medicaid expansion and the insurance exchanges, is when Kentucky started to see large declines in uninsured residents.

Every county in Kentucky has seen a dramatic drop in uninsured since the Affordable Care Act was passed.Especially during 2014 & 2015.

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By several counts, Kentucky saw the largest drop in uninsured, and read more

Kentucky’s ACA Health Insurance Marketplace Is Not Falling Apart

By Dustin Pugel
April 13, 2017

Far from collapsing, the health insurance exchanges set up by the Affordable Care Act (ACA) are a way many Kentuckians are now able to buy health insurance. It will be important for the 81,155 Kentuckians who depend on that coverage for those in Washington to keep it stable rather than undermine it with administrative changes, threatened repeal of the ACA or even reckless public statements that cause insurance companies to question their participation.

Numbers from this year’s open enrollment show a functioning marketplace

Kentucky’s enrollment was lower this year than read more

Eastern Kentucky Would Be Hardest Hit Place in Country by Job Loss from ACA Repeal, Report Says

By Dustin Pugel
March 30, 2017

The House proposal to repeal the Affordable Care Act (ACA) died last Friday, but House leaders say they hope to regroup and try again. Kentucky and especially eastern Kentucky would experience major job loss if the House ends up passing legislation like it considered last week, according to a report released in the midst of the debate.

Stripping away the Medicaid expansion, capping traditional Medicaid funding and rolling back the marketplace subsidies would cost jobs by taking federal dollars out of doctors’ offices, hospitals and local economies. The analysis by read more

A County-by-County Look at Kentucky’s Dramatic Drop in Uninsured

By Dustin Pugel
March 29, 2017

According to new data from the Census Small Area Health Insurance Estimates, Kentucky’s rate of uninsured residents under 65 years old dropped from 16.8 in 2013 to 7.1 percent in 2015, a 9.7 percentage point drop. All 120 counties saw a decline in their uninsured residents:

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While eastern Kentucky counties largely saw a greater portion of county residents covered through the Medicaid expansion, the counties that most drastically cut their uninsured rates read more

Getting Rid of Essential Health Benefits Means Less Coverage, More Costs for Kentuckians

By Jason Bailey
March 24, 2017

The House has amended their healthcare repeal to include eliminating a requirement that insurance plans in the individual and small group markets cover a list of ten essential health benefits. Those include maternity care, pediatric dental services, and mental health and substance abuse treatment. The bill already stripped those required benefits from the Medicaid program, which covers 1.3 million people in Kentucky.

Here’s what getting rid of essential health benefit rules from private insurance would mean for Kentuckians:

People with pre-existing conditions won’t be able to find plans that cover read more

What You Need to Know About the AHCA’s Harmful Effects on Kentucky

By Jason Bailey
March 24, 2017

House leaders say they will take a do-or-die vote Friday on the American Health Care Act (AHCA), their plan to repeal the Affordable Care Act (ACA). Their proposal would dramatically reduce the number of Kentuckians with health coverage, make plans more expensive for those buying insurance through the marketplace and shift billions of dollars to the Kentucky state budget — all while providing large tax cuts to millionaires.

Here are KCEP’s resources on the impacts in Kentucky:

Kentuckians’ Marketplace Health Care Costs Would Rise $1,804 Under AHCA

The plan would read more

Kentuckians’ Marketplace Health Care Costs Would Rise $1,804 Under AHCA

By Dustin Pugel
March 23, 2017

The Affordable Care Act (ACA) provides Kentuckians with a greater opportunity to gain health coverage. One way it does this is by offering financial help with purchasing insurance through the marketplaces that the law forms. In 2017, 81,155 Kentuckians purchased plans through Healthcare.gov, and nearly 4 out of 5 of them received financial help to buy those plans.

But the American Health Care Act (AHCA), designed to repeal and replace the 2010 healthcare reforms, would drive up the cost for people buying insurance through the marketplace by reducing tax credits read more

House Health Repeal Would Shift $16 Billion in Costs to the Kentucky State Budget

By Jason Bailey
March 22, 2017

The House Republican plan to repeal and replace the Affordable Care Act (ACA), known as the American Health Care Act (AHCA), would cut federal funding for Medicaid in Kentucky by $16 billion over 10 years, according to an analysis by the Urban Institute. Making up that shortfall would require an increase in state Medicaid spending in Kentucky that would be bigger than all but one other state.

Cuts to Medicaid in the AHCA come in two ways. First, it would require Kentucky to spend approximately three times more than under read more

Tiny Fraction of Wealthiest Kentuckians Gain from Tax Cuts in Health Repeal

By Jason Bailey
March 20, 2017

The House plan to repeal healthcare reform, known as the American Health Care Act (AHCA), provides a tax cut to the wealthiest people while reducing the number of Americans with health coverage by an estimated 24 million, according to the Congressional Budget Office. Because Kentucky has relatively few high earners, we benefit even less from the tax cuts than almost any other state even while Kentucky has among the most to lose from people becoming uninsured under the plan.

Two of the biggest tax cuts in the AHCA are repeal read more