Skip to main content
National Disability Navigator Resource Collaborative

  • Home
  • About Us
    • Official Partners
    • Friends of the NDNRC
    • Community Outreach Collaboratives
  • Conversations
    • Blog
    • News to Use
    • FAQ
    • Open Enrollment NaviGator
    • Archived Newsletters
  • NDNRC Materials
    • Disability Guide
    • Fact Sheets
    • Medicaid Social Media Toolkit
    • Statement on ACA
    • Webinars & Presentations
  • Resources & Links
    • Disability Specific
    • Mental & Behavioral Health
    • Populations with Special Health Care Needs
    • Marketplace and Medicare
    • Marketplace and Medicaid
    • Enrollment: Overview
    • ACA Resources: Government
    • ACA Enrollment Resources
  • Contact Us
You are here: Home / Newsletter / CURRENT MEDICAID/ACA LANDSCAPE

CURRENT MEDICAID/ACA LANDSCAPE

February 7, 2025 by Nuria Piracha

The NDNRC wants to make sure that people with disabilities are aware of potential changes to their healthcare with the new administration taking office. The disability community utilizes Medicaid, and the ACA Marketplace plans at a higher rate than those without disabilities due to their unique needs.  

By updating this newsletter with resources and educational pieces on where disability health policies stand, we hope to ensure that the disability community continues to have access to accessible and affordable healthcare coverage no matter what changes occur in the foreseeable future. 

The Kaiser Family Foundation (KFF) released a congressional district interactive map on how much Affordable Care Act premium payments will increase once the enhanced subsidies expire and are not renewed. The Congressional Budget Office predicts that there will be 3.8 million more uninsured people once these subsidies expire.  

KFF also took a look at Medicaid enrollment and finances of the largest Medicaid managed care plans. This article reviewed Medicaid enrollment, Medicaid revenue and medical loss rations, member acuity and utilization trends. Overall, the rate and changes to cost are temporary but could last for the rest of the year.  

As an FYI for those who missed Open Enrollment, if enrollment or changes need to be made, people with disabilities who are looking for a Marketplace plan would need to qualify for a Special Enrollment Period (SEP). Common SEPs, but not a definitive list, can be due to changes in:  

  • Income 
  • Employment  
  • Healthcare coverage  
  • Household size  

As a part of our partnership with the Center of Budget and Policy Priorities (CBPP), we have updated Factsheets 1 through 16, excluding Factsheet 6; people with disabilities should read topic and population specific sheets.  

The Georgetown University’s Center for Children and Families (CCF) evaluated how Medicaid provider taxes are a major course of funding for states. This article reviewed how decreasing the use of these taxes would cut a lot of state funding for Medicaid and its importance in maintaining coverage for those covered through Medicaid expansion program.  

Medicaid and ACA Marketplace Landscape. Woman smiling, woman with guide cane, woman sitting in power chair. Newsletter image for the National Disability Navigator Resource Collaborative.

KFF discussed the intersection of Medicaid and work requirements, as the new administration continues to make changes to health policy laws and regulations. Overall, this data found that Medicaid adults who work full-time can get Medicaid in expansion states due to their low-wage jobs and income eligibility criteria. 

The Center on Budget and Policy Priorities (CBPP) continued to assess Medicaid work requirements and noted that they could put over 36 million people at risk of losing health coverage. This number represents about 44% of the total Medicaid enrollees. Of this number, 20 million utilize ACA Medicaid expansion, and 16 million are enrolled through non-expansion adult eligibility pathways. 

CBPP also took a look at how budget cuts could affect vulnerable populations, like the disability community through the Temporary Assistance for Needy Families (TANF) program. The program already has limited reach, with only 1 in 5 families that have income under the federal poverty line eligible for TANF support.  

KFF also reviewed federal health data that was removed from multiple federal websites to comply with recent executive orders. Health information intended for public access is essential for public health education and the removal could lead to issues with public health interventions.  

Archives of our weekly updates are available on the NDNRC website.  

Filed Under: Newsletter

GET EMAIL UPDATES

News

February 14, 2025

WHAT MEDICAID MEANS FOR PWDs  The NDNRC wants to make sure that people with disabilities … Read More »

  • OPEN ENROLLMENT BEGINS TODAY!
  • CMS Releases Proposed 2025 NBPP

Blog

Updated Resources for Open Enrollment

Finalized Rules of Section 1557 of the ACA – What People with Disabilities Need to Know About Covered Entities

Finalized Rules of Section 1557 of the ACA – What People with Disabilities Need to Know About Discriminatory Benefit Design

Newsletters

May 2, 2025

MEDICAID AND ACA ADVOCACY   The NDNRC wants to make sure that people with disabilities are aware … [Read More...]

  • April 25, 2025
  • April 18, 2025

Get Email Updates

Newsletters

May 2, 2025

MEDICAID AND ACA ADVOCACY   The NDNRC wants to make sure that people with disabilities are aware … Read More »

  • April 25, 2025
  • April 18, 2025
  • April 11, 2025
  • April 4, 2025

More Newsletters

Copyright © 2025 NDNRC · All Rights Reserved · Powered by All Saints Media