Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act

Prepared by:
Stan Dorn, Julia Isaacs, Sarah Minton, Erika Huber, Paul Johnson, Matthew Buettgens, and Laura Wheaton
The Urban Institute

Under Task Order: HHSP23337026T
Integrating Health and Human Services Programs and Reaching Eligible Individuals Under the Affordable Care Act

Prepared for:
Alana Landey and Carli Wulff
Office of the Assistant Secretary for Planning and Evaluation, DHHS

This report presents information on overlaps in eligible and participating populations in various health and human services programs, and identifies three main human services programs – the Supplemental Nutrition Assistance Program (SNAP), the Low Income Home Energy Assistance Program (LIHEAP), and the Earned Income Tax Credit (EITC) – as having considerable overlap with health insurance programs and high potential for possible integration and coordination efforts in states that implement the Medicaid expansion. The paper’s appendix presents an analytic framework for possible data usage strategies across programs.