Promoting Continuity of Medicaid Coverage among Adults under Age 65

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March 2014

Chapter 2 of MACPAC’s March report continues the Commission’s examination of insurance stability under the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended). New analyses suggest that there are significant intra-year income changes among adults under age 65, which are likely to contribute to churning in the new eligibility group.

In this chapter, we reiterate support for two of our March 2013 recommendations: first, that Congress provide states with an option for 12-month continuous eligibility for adults, as children have in Medicaid; and second, that it eliminate the sunset date for extended Transitional Medical Assistance (TMA) while allowing states to opt out of TMA if they expand Medicaid to the new adult group. Read more about MACPAC’s analysis of insurance stability issues associated with the ACA.

Publication Type: Reports to Congress

From: March 2014 Report to the Congress on Medicaid and CHIP

Tags: Affordable Care Act, churning, continuous eligibility, eligibility, exchanges, jobless adults, new adult group, parents, Transitional Medical Assistance (TMA), working adults