The Kaiser Family Foundation has released a report titled Adults who Remained Uninsured at the End of 2014, based on its 2014 survey of low-income Americans and the Affordable Care Act (ACA). The report profiles the nonelderly adult population that remained uninsured as of fall 2014. Based on the survey findings, approximately 11 million nonelderly adults were newly insured, meaning they reported that they obtained health coverage in 2014 and were uninsured before that coverage started. However, a large share, about 30 million people, reported that they were uninsured as of the date of the survey. Some are ineligible for ACA coverage, either because of their immigration status or because their state did not expand Medicaid, while others may be eligible but aren’t aware of the new coverage options, or have had difficulty navigating the enrollment process.
The U.S. Department of Health and Human Services (HHS) issued a 15-page document last week that provides guidance on the essential health benefits that must be included in the scope of coverage that insurance plans must meet in 2014 to sell in state-based health insurance exchanges. The guidance provides states with a choice of benchmark plans instead of dictating a single approach. The HHS guidance puts choice and flexibility in the hands of the states as they work to build their insurance exchanges.