Expanded Medicaid Coverage

What is the issue?

  • Beginning in January 2014, under the Affordable Care Act (ACA), states were allowed to expand eligibility for Medicaid coverage to include low income, non-elderly and non-disabled adults without dependent children, with incomes up to 138 percent of the federal poverty level.
  • For example, in 2016 a single person could have an income up to $16,394 to be eligible for coverage under an expanded Medicaid program.
  • Illinois opted to participate in 2013, but included language in the legislation that triggers the elimination of the expanded coverage if the federal matching rate falls below 90 percent.

Why does it matter?

  • As of 2016, more than 637,000 individuals in Illinois, or 20 percent of the 3.2 million total Medicaid recipients in the state, had gained access to coverage under the ACA.
  • One of every four people in the Illinois has health insurance through Medicaid.
  • Children make up 50 percent of the state’s Medicaid population.
  • AMITA Health’s charity care, or financial assistance provided to patients having difficulty meeting their financial obligations, decreased for the first time in 2015 as a result of increased access to health care coverage.

What is the AMITA Health perspective?

  • AMITA Health fundamentally believes in access to health care.  Ensuring access to healthcare is a fundamental right for everyone, not just those who can afford it.  Any changes to the ACA should maintain coverage gains that have provided many people in Illinois with the coverage they need to proactively seek care. We do not believe the nearly 650,000 Illinoisans should lose their access to coverage gained through the ACA.
  • Medicaid supports our mission. Health care coverage is essential for poor and vulnerable communities.  As a faith-based healthcare system, dignity and justice are core values that compel us to provide healthcare to all. Receiving funds from Medicaid allows AMITA Health to continue fulfilling its mission.

External Resources

Information from third-party organizations that can be resources for you to continue to learn about the issues at hand.

Health Reform’s Medicaid Expansion

View Resource

The Long-Term Impact of Medicaid Expansions on Eligible Children

We use administrative data from the IRS to examine the long-term impact of Medicaid expansions on children born from 1981 to 1984. Children with more years of
Medicaid eligibility enroll in college at higher rates, delay fertility, and have lower mortality as adults. Learn more.

Medicaid Taxes + View Resource

The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid

View Resource

Featured News

Featured news includes articles from multiple viewpoints and is designed to keep you abreast of the current debate around this issue. This information should not be construed as our point of view.

View More

Despite changes, House Dems still oppose CHIP bill

House Republicans have altered legislation to extend funding for the Children’s Health Insurance Program, but the changes won’t sway Democrats, who are accusing the GOP ...

The Hill + October 31, 2017 + View Article

9 million kids get health insurance under CHIP. Congress just let it expire.

Congress just allowed the Children’s Health Insurance Program, which provided low-cost health insurance to 9 million children, to expire.  If action is not taken soon ...

Washington Post + October 01, 2017 + View Article