Sun Sentinel Palm Beach Edition

Humana decides to leave ACA exchanges next year

- The Washington Bureau’s Noam N. Levey and Associated Press contribute­d.

That was down from 16 percent in 2010, when President Barack Obama signed the health care law, often called Obamacare.

President Donald Trump and GOP congressio­nal leaders have pledged to roll back the law and replace it with something that will provide Americans with more affordable health care options.

On Tuesday, House Republican leaders repeated their pledges about the health care law.

“We will have a stable transition, where no one has the rug pulled out from under them while we work toward a better, more stable system,” House Speaker Paul Ryan, R-Wis., told reporters at the Capitol.

But Republican­s are struggling to develop an alternativ­e, even as growing numbers of Americans express concern about the repeal campaign.

And to date, neither the Trump administra­tion nor Republican­s in Congress have detailed how they plan to preserve the health protection­s that millions have gained through the current law.

The new report released Tuesday — which is based on surveys of more than 73,000 people’s health insurance nationally — indicates that about 20.4 million people have gained coverage since 2010.

The most dramatic declines began after the law’s system of coverage expansion began in 2014.

That year, states were able to access federal aid through the law to expand their Medicaid programs to cover more low-income residents.

To date, 31 states have taken advantage of the Medicaid expansion.

The new figures indicate coverage gains have been most pronounced in those states, with the share of uninsured adults declining from 18.4 percent in 2013 to 9.3 percent in the first nine months of 2016.

By contrast, the uninsured rate for adults declined much more slowly in states that did not expand Medicaid, falling from 22.7 percent to 17.5 percent.

Many Republican governors and state legislator­s have opposed Medicaid expansion, arguing the program is not effective and too expensive, even though the federal government is footing more than 90 percent of the tab for the expansion.

Congressio­nal Republican­s and new Health and Human Services Secretary Tom Price, a former Georgia congressma­n, have called for dramatic cuts in federal aid for Medicaid.

The new report shows the coverage expansion has also been fueled by new insurance marketplac­es, such as HealthCare.gov, that allow Americans who do not get health insurance through an employer to shop for health plans.

Low- and moderate-income consumers qualify for government subsidies to offset the cost of their monthly premiums.

 ?? MARK WILSON/GETTY ?? “We will have a stable transition,” House Speaker Paul Ryan said Tuesday about rolling back Obamacare.
MARK WILSON/GETTY “We will have a stable transition,” House Speaker Paul Ryan said Tuesday about rolling back Obamacare.

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