If the Affordable Care Act is repealed, we already know that 30 million Americans will lose their health insurance, and almost everybody loses protections. New numbers quantify just what is at stake for Missouri.
Hundreds of thousands of Missourians stand to lose health coverage
504,000 Missourians stand to lose their health coverage.
Missouri stands to lose $18 billion in federal funding for Medicaid, CHIP, and financial assistance for marketplace coverage.
Approximately 226,000 Missourians who currently get financial assistance to help pay for their health coverage will lose this help and will no longer have affordable coverage options. In 2016, Missourians receiving financial assistance saw their monthly premiums reduced on average $315 thanks to this help.
The now-historically low rate of uninsured people will spike, with the number of uninsured in Missouri increasing 93 percent by 2019.4 This will reverse the immense progress that has been made to expand coverage. Between 2013 and 2015:
- The number of uninsured in Missouri declined 25 percent.
- Working Missourians: The uninsured rate among working Missourians saw a 23 percent decline.
Repeal would put care for Missourians who rely on Medicaid at risk
Approximately 967,000 people, or 13 percent of the state’s population, rely on Medicaid for their health insurance. This includes hundreds of thousands of people with disabilities, kids, seniors, and pregnant women. Without Medicaid, most of these Missourians will have no access to affordable care or long-term care.
We don’t know what Congress has in store for the country’s Medicaid program. But whatever they have in store will affect Missouri’s Medicaid program. We also know that a vote to repeal the ACA will throw the nation’s entire health care system into chaos, putting Medicaid recipients at serious risk.
Missourians with private health insurance will be stripped of vital protections against discrimination
Approximately 2.6 million Missourians with pre-existing conditions like asthma, diabetes, and cancer could once again be denied affordable, comprehensive coverage that actually covers their health care needs.
Women in Missouri will once again be charged more for health coverage just for being a woman.
- Prior to the Affordable Care Act (ACA), women in Missouri were charged as much as 31 percent more than men for the same coverage.1
Missourians will once again face a world where insurance plans routinely cap the most they will pay for someone’s health care in a year and in their lifetime, effectively cutting off coverage for the sickest individuals when they most need it.
- Roughly 2.1 million Missourians (including 581,000 children) saw lifetime limits on coverage disappear thanks to the ACA’s ban on these practices.1
Millions of Missourians will lose guaranteed coverage of free preventive services, like recommended cancer screenings and vaccines
Approximately 2.8 million Missourians with private health coverage (including 597,000 children) and 1.1 million Missouri seniors on Medicare will lose guaranteed access to free preventive care, like blood pressure screenings, immunizations, and cancer screenings.
Insurance companies will no longer be required to put Missourians’ premiums toward care, not profits
Insurers will no longer be held accountable for using people’s premium dollars on care and quality improvement or paying back the difference.
- Missourians have received around $68.3 million in refunds from plans that overcharged for premiums since the ACA took effect.
Thousands of seniors and people with disabilities will lose comprehensive drug coverage
The Medicare donut hole will re-open. This will leave Missouri’s seniors and people with disabilities with a gap in prescription drug coverage and forced to pay thousands of dollars more in drug costs.
- Seniors and people with disabilities in Missouri have saved approximately $406 million on drug costs thanks to the ACA’s closing the Medicare donut hole.
- In 2015 alone, approximately 107,000 seniors and people with disabilities in Missouri saved on average $962 on drug costs.