1. Georgia’s Coverage Gap Your name Title Organization

2. Introduction slide Organization name and logo. Other important org. info. Member of Cover Georgia coalition

3. Pathways to Coverage under the ACA Employer-based coverage Individual/non-group (healthcare.gov) (Coverage Gap) Public health insurance coverage Medicare Medicaid TriCare (Veterans) Kids: PeachCare/Medicaid People who qualify for Medicaid: Children (up to age 19) Women who: Are pregnant Have breast, cervical cancer Low to mid-income Aged, blind, disabled (very low income) Very low-income parents (Ex: must earn less than $5500/year for family of three) People in long-term care (nursing homes)

4. Georgia’s coverage gap

5. An example FYI Federal Poverty Line (FPL)— a measure of income set by US Dept. of Health & Human Services. Used to determine a person’s eligibility for certain programs and benefits

6. Family Size Annual Income 1$11,770 2$15,930 3$20,090 4$24,250 100% Federal Poverty Line 2015  Low-wage workers  Construction workers, restaurant servers, retail workers, child care providers  Parents  Working parents who make 39% FPL and 100% FPL  Non-working parents who make 30% FPL to 100% FPL  Veterans  20,000 Georgia veterans + 4000 spouses  Childless adults who earn less than 100% FPL Source: http://www.urban.org/uploadedpdf/412775- Uninsured-Veterans-and-Family- Members.pdf

7. An opportunity for Georgia

8. The economics of closing the coverage gap Georgia can easily cover its share of the costs State savings & new revenue will offset new spending “Use it or lose it” Georgia can opt out at any time Total 4 year costs  $575 million Total 4 year revenue  $700 million Source Cost estimates: Tim Sweeney, Georgia Budget & Policy Institute

9. Other states have closed their gaps

10. Expansion Uninsured rates down 37.7% 1 Hospitals saved $4.2 billion (2014) 2 Improved health outcomes, especially among older adults, racial/ethnic minorities, and residents of poorer counties 3 State budget savings Non-expansion Uninsured rates dropped only 9% 1 Hospitals saved $1.5 billion (2014) 2 No state budget savings Other states have closed their gaps Sources: 1. http://hrms.urban.org/briefs/taking-stock-at-mid-year.htmlhttp://hrms.urban.org/briefs/taking-stock-at-mid-year.html 2. Dept. of HHS, http://www.hhs.gov/news/press/2014pres/09/20140924a.html http://www.hhs.gov/news/press/2014pres/09/20140924a.html 3. New England Journal of Medicine http://www.nejm.org/doi/full/10.1056/NEJMsa1202099#t=articleResu lts

11. State budget savings & revenue gains AR $153 M KY $109 M MI $468 M CO $307 M WA $464 M OR $275 M Source: Manatt Health Solutions, States Expanding Medicaid See Significant Budget Savings and Revenue Gains Key sources of savings

12. When Georgia closes its coverage gap… People Affordable health care access for 300,000 Georgians Financial, health peace of mind Economy $8 billion per year in new economic activity $220 million per year in new tax revenue Health Care Industry $3 billion in federal money annually Reduce uncompensated care costs for all hospitals Help to stabilize failing rural hospitals Workforce 56,000 new jobs created Source: Dr. William Custer, Economic Impact of Medicaid Expansion in Georgia

13. What can you do? Now!  Sign a postcard to your legislators Online at: surveymonkey.com/s/closethecoveragegap  Share your coverage gap story Include email address here about where to send coverage gap stories. Can use info@healthyfuturega.org if you’d like.info@healthyfuturega.org  Add your organization’s name to our list of supporters

14. Name Contact info Stay in touch! Web address Facebook: Twitter: #coverga