Uncover ObamaCare is a project of the Foundation for Government Accountability (FGA) to uncover the facts about two key components of the Patient Protection and Affordable Care Act: Medicaid expansion and the health insurance exchanges.
ObamaCare originally mandated that every state must expand eligibility of their Medicaid programs to cover individuals earning up to 138 percent of the federal poverty level. This would have added roughly 16 million more people to state Medicaid rolls, most of whom would be able-bodied adults with no dependent children and no disabilities, who would not qualify for other welfare programs like cash assistance or long-term food stamps.
In June 2012, the U.S. Supreme Court ruled in National Federation of Independent Business et. al. v. Sebelius, Secretary of Health and Human Services, et. al. that the federal government could not require states to expand Medicaid eligibility. This meant each state would have to decide for itself whether or not to implement the ObamaCare Medicaid expansion.
As state leaders decide whether or not to implement ObamaCare’s Medicaid expansion, they can turn to FGA’s Uncover ObamaCare initiative for original research that demonstrates the dangers Medicaid expansion poses to patients and taxpayers in the states.
The ObamaCare exchanges were created as a so-called marketplace of health insurance options for certain individuals who meet various eligibility requirements.
These government-run exchange plans are built around a complicated tax credit formula that subsidizes a portion of enrollees’ annual premiums. Unlike other tax credits that are typically sent directly to the taxpayer, the ObamaCare exchange tax credits are sent by the government to enrollees’ insurance companies.
Like so many government-run programs, the ObamaCare exchanges are intrusive and complex. And they are designed in such a way that any small change in an enrollee’s life circumstances can have a major impact on his or her premiums, tax bills, deductibles or access to care, and could even result in additional IRS scrutiny.
As enrollment opens beginning October 1, 2013, millions of Americans will have to ask themselves if a government-run exchange plan is the right choice. FGA’s Uncover ObamaCare initiative is a resource you can use to learn about the possible risks to your health and finances of enrolling in the ObamaCare exchange.