ABSTRACT
The Supreme Court upheld broad exemptions to the Affordable Care Act contraceptive mandate; new ACA rules were finalized.
Subject(s)
Contraception/economics , Contraceptive Agents/economics , Insurance Coverage/legislation & jurisprudence , Patient Protection and Affordable Care Act/legislation & jurisprudence , Supreme Court Decisions , COVID-19 , California , Contraception/methods , Coronavirus Infections/epidemiology , Female , Health Policy/legislation & jurisprudence , Humans , Medicaid/economics , Pandemics , Pneumonia, Viral/epidemiology , Policy Making , Politics , Texas , United StatesABSTRACT
The recent coronavirus disease 2019 (COVID-19) global pandemic has resulted in unprecedented job losses in the United States, disrupting health insurance coverage for millions of people. Several models have predicted large increases in Medicaid enrollment among those who have lost jobs, yet the number of Americans who have gained coverage since the pandemic began is unknown. We compiled Medicaid enrollment reports covering the period from March 1 through June 1, 2020, for twenty-six states. We found that in these twenty-six states, Medicaid covered more than 1.7 million additional Americans in roughly a three-month period. Relative changes in Medicaid enrollment differed significantly across states, although enrollment growth was not systemically related to job losses. Our results point to the important effects of state policy differences in the response to COVID-19.