The Supreme Court's Ruling on Medicaid: What it Means for Utah

The Supreme Court ruling to uphold most of the Affordable Care Act gives all Americans many reasons to celebrate. Starting in 2014 when the law is fully implemented…

  • no one will be denied coverage or charged higher premiums because of pre-existing conditions
  • women cannot be charged higher premiums than men
  • young adults can stay on their parents’ insurance, whether they are married or in school or not and no matter whether their parents work for a small or large business
  • seniors will see the Medicare Part D “donut hole” gradually close and Medicare will become more stable and better equipped to deliver high quality, coordinated care.

The ruling resolved the legal challenges that have kept states like Utah from fully implementing the law.  But the ruling also presents a new and unexpected challenge: the Supreme Court made the Medicaid expansion optional to states.  Already a number of Republican Governors are saying NO to the expansion, even though the Feds will cover 100% of the cost in the first 3 years and thereafter and forevermore 90% of the cost.  Utah leaders are wisely taking time to weigh their options and  waiting to decide until after the November election.
What we think:
We have enough time to fully study the pros and cons of the Medicaid expansion for Utah and to calculate the net cost to the state, after factors like “cost avoidance” are taken into account.  Our conclusion: It would be fiscally, economically, not to mention morally, irresponsible to opt out of the Medicaid expansion.  We are preparing talking points and materials to help you and our partners make the full case to policymakers. In the meantime, please enjoy this helpful paper by the Center on Budget and Policy Priorities.
What you can do:
Top Action: Help UHPP collect stories from uninsured individuals who will be helped by the Medicaid expansion.  PLEASE POST THIS FLYER AND SHARE IT WITH YOUR NETWORKS AND CLIENTS. The stories support the data in important ways…

  • they show the human and public health consequences of going without affordable insurance
  • they show how hard it is to get or keep a job without insurance and the financial stability that goes with it
  • they show how for uninsured persons living with mental illness or disability, not having insurance interferes with rehabilitation efforts or job readiness activities
  • and so on…see examples of angles in our StoryBank.
For policymakers that are less comfortable with data and factual information, stories speak volumes!

We've Got Our Work Cut Out for Us...What are Utah's Options?

Now that the Supreme Court has ruled that the ACA is constitutional, what does Utah need to do… and when? 

Read more here.

UHPP Featured Volunteer, Jimmy

Jimmy is a UHPP intern working with us on the Behavioral Health Integration (BHI) project.  His voice and experience brings a critical consumer perspective to the BHI workgroup of the state’s Health Reform Task Force.

Read more here


Health System Reform Task Force Meeting (and workgroups)
Wednesday, July 18, 9AM-12PM
Room 30 House building at the State Capitol Complex
NOTE:  Interim committees do not meet in July (with the exception of the Health System Reform Task Force)

Toolkit Training

Take Care Utah is proud to invite you to a “Tool Kit Training.”  This training will provide you with tools to help families get and keep affordable health insurance.  

Read more here

UHPP Welcomes Felipe Zurita, Take Care Utah Enrollment Specialist

Take Care Utah welcomes enrollment specialist Felipe Zurita to the team! Felipe hails from Chile and recently graduated from BYU with a degree in public health and marketing.

Read more here

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