The Affordable Care Act and African Americans. Expanded Insurance Coverage:

04/12/2012

Under the Affordable Care Act, young adults ages 19-25 can be covered under their parent’s employer-sponsored or individually purchased health insurance.6  In the first nine months after this provision took effect (October 2010 to June 2011), the number of young adults in this age group with health insurance increased by 8.3 percent. An estimated 410,000 young African American adults have health insurance coverage because of this provision of the Affordable Care Act (Table 1).8

Estimates from the RAND COMPARE microsimulation model suggest that 3.8 million African Americans who would otherwise be uninsured will have health insurance coverage in 2016 because of the Affordable Care Act (Figure 1).9  The Affordable Care Act expands Medicaid coverage to include Americans with family incomes at or below 133 percent of federal poverty guidelines (currently $30,657 for a family of four); the expansion includes adults without dependent children living at home, who have not been eligible in most states.10  Individuals with higher incomes (up to 400 percent of federal poverty guidelines, currently $92,200 for a family of four) will be eligible to purchase subsidized coverage from the new Affordable Insurance Exchanges.11

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