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Too sick to care: Direct-care workers, Medicaid expansion, and the coverage gap

July 27, 2015


Uses original research to show that nearly 500,000 direct-care workers are shut out of Medicaid eligibility because their states have refused to expand the program under the terms of the Affordable Care Act. These workers, who live in the 21 “non-expansion” states, fall into the “coverage gap,” the report says; they earn too much money to qualify for Medicaid in their states, but not enough to qualify for federal subsidies that would help them buy insurance on health care exchanges.

Contributing Authors
Marquand, Abby
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