Medicaid Expansion Drove Health Insurance Coverage Under Health Law, Rand Paul Says

PolitiFact

By: Jon Greenberg

Repealing the Affordable Care Act would remove healthcare insurance from about 20 million people that just gained insurance thanks to this healthcare law and its programs, such as Medicaid. Rand Paul, during the CNN’s State of the Union, mentioned that if any state wanted to maintain its Medicaid expansion, it would have to increase its taxes.

Joan Alker, a research professor at Georgetown University’s McCourt School of Public Policy, told us that most of that 3.4 million are children. She said Medicaid analysts explain this through the “welcome mat effect.”

“There was a lot of outreach and publicity, and people started coming in,” Alker said. “The parents might qualify for expanded Medicaid, but their kids were already eligible under Medicaid or CHIP.  And the same could happen for parents who signed up through the marketplace.”

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