Chattanooga Times Free Press

Report: Medical debt down 18% since 2020

- BY JOSH BOAK

The number of people with medical debt on their credit reports fell by 8.2 million — or 17.9% — between 2020 and 2022, according to a report Tuesday from the U.S. Consumer Financial Protection Bureau.

White House officials said in a separate draft report that the two-year drop likely stems from their policies. Among the programs they say contribute­d to less debt was an expansion of the Obamaera healthcare law that added 4.2 million people with some form of health insurance.

In Tennessee, the government said 348,097 persons enrolled in one of the healthcare exchange programs offered under the so-called Obamacare health exchange programs last year, which was more than 27% higher than the average enrollment in such programs over the past five years. Under the Medicaid waiver negotiated by the state with the U.S. Centers for Medicare & Medicaid Services in 2021, Tennessee has gained more flexbility and Gov. Bill Lee has proposed using extra funds to extend TennCare coverage to about 25,000 children and parents this year.

In other parts of the country, local government­s also are leveraging $16 million in coronaviru­s relief funds to wipe out $1.5 billion worth of medical debt.

There has also been a persistent effort by the CFPB to reduce medical debt. The major credit rating agencies said last year that they will no longer include in their reports medical debts under $500 or debts that were already repaid. The agencies will also extend the time it takes to add medical debt to reports from six months to one year, possibly giving families more time to repay

before being penalized with lower credit scores.

White House officials said the decline in debt could reduce fears about medical bills that can prevent people from making needed doctor appointmen­ts and filling pharmaceut­ical prescripti­ons.

While economic measures such as the unemployme­nt rate and inflation can swing up and down, the decline in medical debt shows that steady progress is being made. Some 13.5% of the 279 million people with credit reports had at least one medical debt, down from 16.4% in 2020 and 19.4% in 2014.

Still, unpaid medical bills account for more than half of all debt in collection­s, according to the White House report. As a result, medical debt exceeds credit cards, personal loans and utilities and phone bills combined.

There is also evidence that the decline predates the Biden presidency. The amount of medical debt on credit reports fell to $111 billion from $143 billion between 2018 and the first half of 2021, according to a March 2022 report by the CFPB.

But communitie­s such as Chicago, New Orleans, Pittsburgh and Toledo, Ohio, are using $16 million in funds from the 2021 coronaviru­s relief to buy medical debt and forgive it. So far, the spending plans are eliminatin­g $1.5 billion in medical debt, a ratio of about 100-to-1 for the expenditur­es by the local government­s.

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