ACA’s ‘Woodworking’ Effect Playing Out As 91,000 People Eligible For Medicaid Learn They Can Get Coverage

Supporters and opponents of the federal health law still can鈥檛 decide whether to call it the 鈥渨oodwork鈥 or 鈥渨elcome mat鈥 effect 鈥 the millions of people currently eligible for Medicaid who are not enrolled聽and who are expected to sign up as a result of the Affordable Care Act.

The Obama administration’s first enrollment report released Wednesday shows the phenomenon is real. It is happening even in Republican-led states that have fought the health law and refused to take advantage of聽a聽provision that would聽expand their Medicaid programs.

In the first month of open enrollment, about 91,000 people in those non-expanding states who would have qualified for Medicaid before but had not signed up, came to the federal online marketplace聽and were deemed eligible聽 for the program,聽 according to a Kaiser Health News analysis of the聽data.

In Florida, nearly 13,000 people have visited 聽and been determined eligible for Medicaid —聽more than in any of聽the states not expanding the program. In Texas, the figure is about 11,600. Texas and Florida have been among the most hostile states to the health law. Nearly 11,000 people in Wisconsin have also been deemed eligible for Medicaid.next year.

鈥淭his is good news,鈥 said Deborah Bachrach, a partner with consulting firm Manatt, Phelps & Phillips and a former Medicaid director in New York. 鈥淚t shows despite the opposition from Texas Gov. Rick Perry and the Florida legislature and other states that people want coverage and they are coming in and applying despite the problems with healthcare.gov.”

Half the states next year are expanding Medicaid under the law to cover everyone under 138 percent of the federal poverty level,聽which is聽about $15,800 for an individual.

Those who are eligible for Medicaid or the Children鈥檚 Health Insurance Program still must enroll through the state Medicaid program. About 9 million people are expected to sign up for Medicaid as a result of the health law in the first year–including many who are eligible today for the program, according to the .

In all, nearly 400,000 people nationally have been deemed eligible for Medicaid after going through either the federal online marketplace or their state exchange, according to the聽government’s announcement Wednesday. No information was released to聽indicate how many of the people applying in expansion states were previously eligible.

However, figures released on Wednesday by Washington state — which has its own online exchange — show聽 nearly 70,000 people enrolled in Medicaid of which聽30,000 were previously eligible.

The headline on this post was corrected on Nov. 15 to make clear that not all the people deemed eligible have enrolled.

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