Miami Herald

Florida leads nation in Obamacare enrollment as people clamor for health insurance

- BY MICHELLE MARCHANTE mmarchante@miamiheral­d.com McClatchy Senior White House Correspond­ent Michael Wilner contribute­d to this report. Michelle Marchante: 305-376-2708, @TweetMiche­lleM

Florida led the way with the highest number of people in the country who signed up for health insurance under the Affordable Care Act, with more than 3.2 million people enrolling, or almost 20% of the country’s total.

A record 16.3 million people nationwide signed up for plans on the federal health-insurance exchange during the open-enrollment period, which began Nov. 1 and ended on Jan. 15, the Centers for Medicare & Medicaid Services reported Wednesday.

In Florida, enrollment ballooned to 3.2 million, a 19% jump over last year’s open-enrollment period under the health law commonly known as Obamacare.

The 3.2 million represents 20% of all enrollees nationwide even though Florida, the third-most populous state in the country with 22 million people, accounts for only about 7% of the U.S. population.

While county-specific data for the 2023 enrollment period isn’t available yet, Miami-Dade County has previously led the country in Obamacare enrollment­s.

For University of Miami professor Dr. Olveen Carrasquil­lo, an expert on the Affordable Care Act, Florida’s enrollment spike is likely an indication of outreach efforts, a lack of jobs that provide health coverage and Florida being one of 11 states that did not expand Medicaid eligibilit­y through the Affordable Care Act (ACA).

About 425,000 adults in Florida don’t have health insurance because they are too poor to qualify for coverage under the ACA and the state hasn’t expanded Medicaid, according to the Center on Budget and Policy Priorities. More than half of those adults are Hispanic or Black.

“It shows that there’s a major need for health insurance in our state,” said Carrasquil­lo, who serves as UM’s dean for Clinical and Translatio­nal Research and is also codirector of the Clinical

Translatio­nal Science Institute.

Almost a million Floridians could lose their Medicaid coverage starting in April once the federal COVID-19 emergency comes to an end and because Florida didn’t expand its Medicaid eligibilit­y.

Florida has more than 5.6 million people who receive Medicaid, about one-fourth of the state’s population. About 1.8 million people have become eligible for Medicaid in Florida since 2020 when the federal government paid states more money to keep people covered during the pandemic. About half of the 1.8 million, or more than 900,000, are expected to lose coverage when the state begins to review Medicaid eligibilit­y beginning April 1.

To qualify for Medicaid in Florida, parents must earn less than 31% of the federal poverty line, or less than $6,807 for a family of three, the Center on Budget and Policy Priorities estimates.

OTHER STATES

Texas has the secondhigh­est enrollment in Affordable Care Act plans among states that used the federal marketplac­e, with 2.4 million enrollees, according to the Centers for Medicare & Medicaid Services.

California, which is one of 18 states that used a state-based marketplac­e, came in third with 1.7 million people signing up for Affordable Care Act plans.

In fourth and fifth place are Georgia (879,084) and North Carolina (800,850).

To check your coverage eligibilit­y, visit healthcare.gov

 ?? Miami Herald file ?? For University of Miami professor Dr. Olveen Carrasquil­lo, an expert on the Affordable Care Act, Florida’s enrollment spike is likely an indication of outreach efforts, a lack of jobs that provide health coverage and Florida being one of 11 states that did not expand Medicaid eligibilit­y through the ACA.
Miami Herald file For University of Miami professor Dr. Olveen Carrasquil­lo, an expert on the Affordable Care Act, Florida’s enrollment spike is likely an indication of outreach efforts, a lack of jobs that provide health coverage and Florida being one of 11 states that did not expand Medicaid eligibilit­y through the ACA.

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