The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the federal share for a 24-month period after the state extends coverage. The Kaiser Family Foundation estimates that Georgia’s budget would see a net gain of $710 million over a two-year period if the state expanded Medicaid.² Approximately 452,600 uninsured non-elderly adults, or 39 percent of the state’s uninsured adult population, would gain health insurance.³
This fact sheet examines which workers and industries would benefit from expansion of Medicaid coverage.4 The top three industry sectors employing low-wage uninsured workers are hospitality, retail, and administrative, support, and waste management, accounting for approximately 44 percent of those working without insurance; these industry sectors include businesses such as restaurants, general merchandise stores (such as warehouse clubs and supercenters), and building services (such as janitorial services) (see Table 1). The most common jobs for low-wage, uninsured workers are cashiers, cooks, maids and housekeeping staff, waiters/waitresses, and freight and stock laborers (see Table 2).
¹For more information on the provisions of the law, see E. Park and S. Corlette, “American Rescue Plan Act: Health Coverage Provisions Explained” (Washington DC: Georgetown University Center for Children and Families and Center on Health Insurance Reform, March 2021), available at https://ccf.georgetown.edu/2021/03/11/american-rescueplan-act-health-coverage-provisions-explained/.
²R. Rudowitz, B. Corallo, and R. Garfield, “New Incentive for States to Adopt the ACA Medicaid Expansion: Implications for State Spending” (Washington DC: Kaiser Family Foundation, March 2021), available at https://www.kff.org/medicaid/issue-brief/new-incentive-for-states-toadopt-the-aca-medicaid-expansion-implications-for-state-spending.
³Kaiser Family Foundation, “Who Could Medicaid Reach with Expansion in Georgia?” (Washington DC: Kaiser Family Foundation, February 2021), available at https://files.kff.org/attachment/fact-sheetmedicaid-expansion-GA.
4Contact authors for more information on sources of data and methods. All data are derived from the American Community Survey (2019) most from the Public Use Microdata Sample; county data calculated from American Community Survey five-year (2015-2019) prepared tables.