Vox

By: Dylan Matthews

The American Health Act, bill proposed by the House Republicans to replace the Affordable Care Act, will possibly leave about 6 million low-income Americans without health insurance, as they received the health care coverage benefits under the Medicaid expansion in their respective states.

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Joan Alker, a Medicaid expert at Georgetown University, estimates that those eight states alone could lead to 3.3 million Medicaid enrollees losing coverage if the AHCA passes.

So over a few years, most Medicaid expansion beneficiaries would fall off as their incomes rise and not be able to get back on once they fall again. “I think expansion is going to wither on the vine because of the churn that happens,” Alker told me.

However, there is still a lot of variation in cost within those categories. “Within your elderly group, you have the young and old, 67-year-olds and 85-year-olds, and the latter are much more expensive,” Alker explains.

(There are quotes from Joan throughout the article)

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