The Affordable Care Act and Asian Americans and Pacific Islanders. Expanded Insurance Coverage


Under the Affordable Care Act, young adults ages 19-25 can be covered under their parent’s employer-sponsored or individually purchased health insurance.10  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.11  These estimates show that from September 2010 to June 2011, the share of adults 19 to 25 with insurance coverage increased from 64 percent to 73 percent, which translates into 2.5 million additional young adults with coverage.  And of the 2.5 million young adults who have benefitted from this provision of the Affordable Care Act, an estimated 97,000 are Asian American and Pacific Islander (Table 1).12

Estimates from the RAND COMPARE microsimulation model suggest that in 2016, 2.0 million Asian Americans who would otherwise be uninsured will be eligible for coverage through the expansion of Medicaid eligibility and the creation of Affordable Insurance Exchanges, or newly covered by their employers (Figure 1).13 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.14  Individuals with 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.15

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