With a U.S. Supreme Court decision looming this month on a point of law that could dismantle the Affordable Care Act, a series of new reports offer a grim glimpse at the toll on Texas should the court decide against the Obama administration.
An estimated 1 million in Texas could lose their health insurance if the high court strikes down a provision in the Affordable Care Act that allows people to get tax subsidies that make their premiums more affordable through the federal insurance exchange, according to a study commissioned by the Texas Association of Community Health Centers and the Texas Academy of Family Physicians.
Those people could soon rejoin the millions in Texas who are already without health care coverage. Texas leads the nation in the number of uninsured with a rate of about 17 percent. Before the implementation of the health care law, the rate was 24.6 percent.
The pain is especially acute in Texas, the report says, because state leaders chose not to expand Medicaid, which left another 1.5 million people who were eligible without coverage.
“This is unconscionable. … What do you tell the million people in Texas who about to lose their coverage? That they didn’t deserve it in the first place?” said Ken Jandra, president and CEO of Community Health Choice, a HMO with 300,000 members is Houston.
In Texas, 85 percent of those insured through the federal marketplace receive an average tax credit of $247 a month. Without the subsidy, premiums could climb 305 percent, according to a study released last week by the Kaiser Family Foundation.
The most recent figure I saw for Texas was 1.2 million enrollments on the exchange; eighty-five percent of that – the share of folks who have subsidized coverage – yields the one million at risk number. The number of uninsured Texans dropped by eight percentage points this year versus what it was pre-Obamacare. We’re still at twice the national rate because our shortsighted and pound-foolish Republican leadership stubbornly refuses to expand Medicaid, but it’s still big progress. Which can be taken away by the whim of five Supreme Court justices, if they decide to do that. Anyone who thinks either Congress or those same state Republicans will do anything to fix this in that event probably thinks swimming in the bayou during a heavy rain is a good idea. For now at least, all we can do is hope for the best. Kevin Drum, Daily Kos, Better Texas Blog, and KUHF has more.