{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T07:53:39Z","timestamp":1764402819402},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":1827,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J. Law. Med. Ethics"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Medicaid coverage matters for millions of low-income Americans, and especially for those with ongoing and serious health challenges. A source of comprehensive and affordable coverage, Medicaid has long been a cornerstone of federal and state efforts to improve access and health outcomes for very poor and medically vulnerable populations. The Affordable Care Act (ACA) leveraged Medicaid's role in serving the poor to broaden the program's reach to millions of low-income uninsured adults, and positioned the program as a fundamental component of the newly established continuum of public and private coverage. Looking ahead, if more states embrace the Medicaid expansion, there is the potential to build on this progress to significantly reduce the number of uninsured Americans.<\/jats:p>","DOI":"10.1177\/1073110516684790","type":"journal-article","created":{"date-parts":[[2017,12,11]],"date-time":"2017-12-11T21:32:09Z","timestamp":1513027929000},"page":"580-584","update-policy":"http:\/\/dx.doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Medicaid's Role in Health Reform and Closing the Coverage Gap"],"prefix":"10.1017","volume":"44","author":[{"given":"Diane","family":"Rowland","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Lyons","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,1,1]]},"reference":[{"key":"S1073110500023305_bib5","unstructured":"5. Artiga, S. , Damico, A. , Young, K. , Cornachione, E. , and Garfield, R. , Health Coverage and Care for Immigrants, Kaiser Family Foundation, January 2016, available at <http:\/\/kff.org\/disparities-policy\/issue-brief\/health-coverage-and-care-for-immigrants\/> (last visited September 26, 2016)."},{"key":"S1073110500023305_bib18","unstructured":"18. See Garfield et al., supra 4."},{"key":"S1073110500023305_bib2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.1294"},{"key":"S1073110500023305_bib12","unstructured":"12. See Garfield and Damico, supra note 4."},{"key":"S1073110500023305_bib3","unstructured":"3. Center for Medicare and Medicaid Services, U.S. Department of Health and Human Services, \u201cAffordable Care Act Financing,\u201d available at <https:\/\/www.medicaid.gov\/affordablecareact\/provisions\/financing.html> (last visited September 26, 2016)."},{"key":"S1073110500023305_bib24","unstructured":"24. See Garfield et al., supra, 18."},{"key":"S1073110500023305_bib15","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-2334"},{"key":"S1073110500023305_bib17","article-title":"\u201cAccess to Care and Affordability Have Improved Following Affordable Care Act Implementation; Problems Remain,\u201d","volume":"35","author":"Shartzer","year":"2015","journal-title":"Health Affairs"},{"key":"S1073110500023305_bib23","unstructured":"23. Rudowitz, R. and Musumeci, M. , The ACA and Medicaid Expansion Waivers, Kaiser Family Foundation, November 2015, available at <http:\/\/kff.org\/medicaid\/issue-brief\/the-aca-and-medicaid-expansion-waivers\/> (last visited September 27, 2016)."},{"key":"S1073110500023305_bib21","unstructured":"21. Garfield, R. and Damico, A. , The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid, Kaiser Family Foundation, October 2016, available at <http:\/\/kff.org\/health-reform\/issue-brief\/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid-an-update\/> (last visited December 5, 2016)."},{"key":"S1073110500023305_bib16","unstructured":"16. Dey, J. , Rosenoff, E. , West, K. , Ali, M. , Lynch, S. , McClellan, C. , Mutter, R. , Patton, L. , Teich, J. , and Woodward, A. , ASPE Issue Brief on Benefits of Medicaid Expansion for Behavioral Health, Office of the Assistant Secretary for Planning and Evaluation and the Substance Abuse and Mental Health Services Administration, March 28, 2016, available at <https:\/\/aspe.hhs.gov\/sites\/default\/files\/pdf\/190506\/BHMedicaidExpansion.pdf> (last visited September 26, 2016)."},{"key":"S1073110500023305_bib25","unstructured":"25. 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Garfield, R. , Damico, A. , Cox, C. , Claxton, G. , and Levitt, L. , Estimates of Eligibility for ACA Coverage among the Uninsured in 2016, Kaiser Family Foundation, October 2016, available at <http:\/\/kff.org\/health-reform\/issue-brief\/new-estimates-of-eligibility-for-aca-coverage-among-the-uninsured\/> (last visited December 5, 2016)."},{"key":"S1073110500023305_bib14","unstructured":"14. Id."},{"key":"S1073110500023305_bib22","unstructured":"22. 42 U.S.C. section 1315."},{"key":"S1073110500023305_bib26","unstructured":"26. See Garfield and Damico, supra note 4."},{"key":"S1073110500023305_bib7","unstructured":"7. Paradise, J. , Medicaid Moving Forward, Kaiser Family Foundation, March 2015, available at <http:\/\/kff.org\/health-reform\/issue-brief\/medicaid-moving-forward\/> (last visited September 26, 2016)."},{"key":"S1073110500023305_bib20","unstructured":"20. 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Garfield, R. and Young, K. , How Does Gaining Coverage Affect People's Lives? Access, Utilization, and Financial Security among Newly Insured Adults, Kaiser Family Foundation, June 2015, available at <http:\/\/kff.org\/health-reform\/issue-brief\/how-does-gaining-coverage-affect-peoples-lives-access-utilization-and-financial-security-among-newly-insured-adults\/> (last visited September 26, 2016)."},{"key":"S1073110500023305_bib1","unstructured":"1. 132 S. Ct. 2566 (2012)."},{"key":"S1073110500023305_bib11","unstructured":"11. U.S. Census Bureau, \u201cIncome, Poverty, and Health Insurance Coverage: 2015,\u201d September 2016, available at <https:\/\/www.census.gov\/content\/dam\/Census\/newsroom\/presskits\/2016\/20160913_iphi_slides_plot_points.pdf> (last visited October 7, 2016)."},{"key":"S1073110500023305_bib8","unstructured":"8. Centers for Medicare and Medicaid Services, Medicaid & CHIP Monthly Applications, Eligibility Determinations, and Enrollment Reports: February 2014 - June 2016 (preliminary), as of September 27, 2016, available at <http:\/\/www.medicaid.gov\/medicaid-chip-program-information\/program-information\/medicaid-and-chip-enrollment-data\/medicaid-and-chip-application-eligibility-determination-and-enrollment-data.html> (last visited October 7, 2016)."},{"key":"S1073110500023305_bib19","unstructured":"19. Id."},{"key":"S1073110500023305_bib10","unstructured":"10. 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