CAT AFFORDABLE CARE ACT PRIORITY ACTIVITY WORKGROUP UPDATE CAT Quarterly Meeting August 2015

US – State of Enrollment ,688,074 Marketplace Plan Selections 8,838,291 Marketplace Plan Selections in 37 States including Texas HealthCare.Gov 2,849,783 Plan selections in State-Based Marketplaces

US – State of Enrollment million or 87% qualified for an advance premium tax credit (APTC) in 37 FFM states HealthCare.gov Average premium before APTC $364 Average premium after APTC $101 Average premium reduction 72%

Texas – State of Enrollment - #1 Texas leads the nation in the percentage 20.8% and number of uninsured 6,167,000 TOTAL UNINSURED 1,756,000 ELIGIBLE FOR TAX CREDITS % FPL 1,046,000 COVERAGE GAP 1,264,000 Ineligible based on income or availability of employer coverage 1,226,000 Undocumented Immigrants

Texas – State of Enrollment OE1 & OE , Plan Selections ,200, Plan Selections

HealthCare.gov SEP & OE3

Health Insurance Marketplace - SEP

Good news for ! 3-Year Navigator Grants Will Provide Stability to Enrollment Assistance Three-year funding periods will enable navigator entities to recruit and retain permanent, professional consumer assisters and assure high quality assistance for consumers Sustained community and collaborative partner development and engagement

Health Insurance Marketplace OE3

Enrollment Assistance 3-Year Navigator Grants Will Provide Stability to Enrollment Assistance Three-year funding periods will enable navigator entities to recruit and retain permanent, professional consumer assisters and assure high quality assistance for consumers Sustained community and collaborative partner development and engagement

Enrollment Assisters Navigators – Award due by 09/15 Certified Application Counselors (CACs) Texas FQHC ‘s, CBO’s, other Insurance Agents

Texas Enrollment – Local in person support

2015 Outreach and Education Financial Assistance Eligibility More than two-thirds of uninsured adults in March 2015 were potentially eligible for financial assistance with insurance coverage under the ACA. Nationwide, about a quarter of uninsured adults had incomes below the federal poverty level and lived in states that have not expanded Medicaid. Many uninsured adults were concerned about the affordability of insurance coverage html

2015 Outreach and Education Financial Assistance Eligibility Half of uninsured adults who were potentially eligible for financial assistance had not heard about subsidies or looked for information on health plans in the Marketplace. Uninsured adults face competing demands on family budgets that may preempt purchasing insurance coverage html

2015 Outreach and Education Health Insurance Literacy literacy-for-the-outreach-and-enrollment-community/