Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Appendix IV. Additional Microsimulation Results

12/23/2013

This appendix provides additional detailed microsimulation results. As previously noted, the tabulations are drawn from information from two large microsimulation models, the Transfer Income Model, Version 3 (TRIM3), which is developed and maintained by the Urban Institute under primary funding from ASPE, and the Health Insurance Policy Simulation Model (HIPSM), also developed and maintained by the Urban Institute.

Table A6. Average monthly eligibility/receipt of human services benefits, by eligibility for insurance affordability programs (IAPs) under the ACA for people under age 65 (thousands) (part 1)

  All Eligible for Medicaid or CHIP Eligible for HIX subsidies
Children Parents Non-parents Total Children Parents Non-parents Total
All persons 256,874 45,555 15,206 31,146 91,906 1,163 3,777 12,896 17,836
Receives SNAP 43,118 20,677 9,844 11,123 41,644 61 256 286 602
Eligible for but does not receive SNAP 14,450 4,309 1,857 5,451 11,617 25 142 966 1,133
Family receives WIC 16,813 10,180 4,054 125 14,359 77 607 19 704
Family eligible for but does not receive WIC 12,216 7,386 2,860 87 10,334 49 325 15 389
Receives TANF 4,719 3,550 1,084 22 4,656 0 24 0 24
Eligible for but does not receive TANF 9,483 6,508 2,698 73 9,279 1 76 0 77
Receives LIHEAP 17,812 7,437 3,285 4,829 15,551 32 312 552 896
Eligible for but does not receive LIHEAP 50,981 20,370 8,720 13,968 43,058 132 1,068 2,038 3,239
Family receives child care subsidies 2,851 1,846 700 23 2,570 5 57 5 67
Family eligible for but does not receive child care subsidies 13,613 8,497 2,806 111 11,414 63 428 15 506
Receives housing subsidies 8,729 3,963 1,712 2,345 8,021 3 73 139 216
Potentially eligible for UI 8,083 13 1,314 2,261 3,588 2 273 1,134 1,409
Eligible for EITC 53,481 24,014 10,599 7,655 42,268 361 2,087 1,146 3,594

 

Table A6. Average monthly eligibility/receipt of human services benefits, by eligibility for insurance affordability programs (IAPs) under the ACA for people under age 65 (thousands) (part 2)

  Medicare enrollees not eligible for insurance affordability programs Other persons not eligible for insurance affordability programs
Children Parents Non-parents Total Children Parents Non-parents Total
All persons 56 323 2,883 3,262 31,587 42,062 70,220 143,869
Receives SNAP 1 62 140 204 53 419 196 668
Eligible for but does not receive SNAP 1 6 332 339 93 459 809 1,361
Family receives WIC 1 24 3 29 298 1,369 54 1,721
Family eligible for but does not receive WIC 2 26 6 34 229 1,183 46 1,459
Receives TANF 0 1 0 1 0 38 0 38
Eligible for but does not receive TANF 0 4 0 4 0 122 1 123
Receives LIHEAP 1 30 158 189 59 564 553 1,176
Eligible for but does not receive LIHEAP 1 65 371 437 227 1,969 2,052 4,247
Family receives child care subsidies 0 1 2 2 29 168 15 212
Family eligible for but does not receive child care subsidies 1 5 0 6 254 1,276 158 1,688
Receives housing subsidies 1 18 100 119 15 166 193 374
Potentially eligible for UI 0 10 52 62 8 1,138 1,879 3,025
Eligible for EITC 3 100 247 349 889 4,954 1,428 7,271

Source: TRIM3, HIPSM 2012. Notes: Assumes that all states expand Medicaid eligibility for adults to 138 percent FPL. Eligibility for children’s Medicaid and CHIP includes pre-ACA categories above 138 percent and does not exclude ESI recipients. WIC and child care subsidy counts include spouses and dependents under age 19 who do not directly receive WIC or child care subsidies. Housing subsidies include public housing and rent vouchers. UI and EITC estimates are for potential eligibles and eligibles, respectively. Other human services estimates are for aid recipients. Human services estimates are based on eligibility and participation levels in calendar year 2010 as reflected in the 2011 CPS-ASEC.

Table A7. IAP eligibility, by eligibility/receipt of human services, for people under age 65 (thousands) (part 1)

  All Receives SNAP Eligible for, does not receive SNAP Non-custodial parent Family receives WIC Receives TANF
Eligible for Medicaid or CHIP, 0-50% FPL Children 14,429 14,429 879 19 4,071 3,143
Parents 5,991 4,813 317 500 1,803 913
Non-parents 15,300 6,744 1,698 1,253 52 22
Total 35,721 22,062 2,894 1,772 5,926 4,079
Eligible for Medicaid or CHIP, 51-100% FPL Children 8,124 5,802 1,131 11 2,311 282
Parents 4,468 2,989 664 337 1,101 120
Non-parents 5,890 1,779 1,358 399 27 0
Total 18,482 10,570 3,152 747 3,439 402
Eligible for Medicaid or CHIP, 101-138% Children 6,471 2,963 1,273 14 1,740 33
Parents 4,089 1,669 840 291 1,011 32
Non-parents 5,742 904 1,671 404 31 0
Total 16,302 5,535 3,783 709 2,782 65
Eligible for Medicaid or CHIP, > 138% FPL Children 15,956 1,069 978 33 1,922 27
Parents 177 49 9 22 50 1
Non-parents 755 47 65 79 3 0
Total 16,888 1,165 1,052 134 1,975 28
Eligible for HIM subsidies under ACA Children 1,163 61 25 3 77 0
Parents 3,777 256 142 288 607 24
Non-parents 12,896 286 966 817 19 0
Total 17,836 602 1,133 1,108 704 24
Medicare recipients Children 631 339 50 0 137 64
Parents 804 386 33 67 113 19
Non-parents 6,341 1,789 991 274 16 0
Total 7,775 2,516 1,074 340 267 84
Not IAP eligible (Other) Children 31,587 53 93 31 298 0
Parents 42,062 419 459 2,234 1,369 38
Non-parents 70,220 196 809 3,788 54 0
Total 143,869 668 1,361 6,053 1,721 38

 

Table A7. IAP eligibility, by eligibility/receipt of human services, for people under age 65 (thousands) ( part 2)

  Receives LIHEAP Family receives CCDF Receives housing subsidies Potentially eligible for UI Eligible for EITC
Eligible for Medicaid or CHIP, 0-50% FPL Children 3,430 662 2,419 6 5,661
Parents 1,492 219 1,022 530 2,720
Non-parents 2,380 4 1,182 976 2,442
Total 7,303 884 4,623 1,512 10,823
Eligible for Medicaid or CHIP, 51-100% FPL Children 1,839 606 803 2 6,076
Parents 985 294 382 460 3,930
Non-parents 860 5 337 608 2,323
Total 3,684 904 1,523 1,070 12,328
Eligible for Medicaid or CHIP, 101-138% Children 1,063 304 380 0 5,102
Parents 634 179 225 295 3,645
Non-parents 726 14 215 604 2,125
Total 2,424 497 819 899 10,871
Eligible for Medicaid or CHIP, > 138% FPL Children 995 268 285 3 6,926
Parents 37 5 10 21 147
Non-parents 70 0 14 46 334
Total 1,102 273 309 70 7,407
Eligible for Medicaid or CHIP, > 138% FPL Children 32 5 3 2 361
Parents 312 57 73 273 2,087
Non-parents 552 5 139 1,134 1,146
Total 896 67 216 1,409 3,594
Medicare recipients Children 111 7 78 1 253
Parents 167 3 91 18 257
Non-parents 952 3 697 80 679
Total 1,227 14 865 98 1,189
Not IAP eligible (Other) Children 59 29 15 8 889
Parents 564 168 166 1,138 4,954
Non-parents 553 15 193 1,879 1,428
Total 1,176 212 374 3,025 7,271

Source: TRIM3, HIPSM 2012. Notes: See notes to table A6. Eligibility for Medicaid and CHIP is limited to people not receiving Medicare.

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