Collins Sara R, Nicholson Jennifer L
The Commonwealth Fund, USA.
Issue Brief (Commonw Fund). 2010 Oct;101:1-20.
The Patient Protection and Affordable Care Act includes several provisions that promise to stem the rapidly rising tide of uninsured young adults, one of the largest uninsured segments of the population. These include the ability to enroll in a parent's health plan up to age 26, beginning in September 2010; significant expansion in eligibility for Medicaid, beginning in 2014; and the creation of health insurance exchanges with subsidized private insurance for people with low and moderate incomes, also beginning in 2014. Of the 14.8 million uninsured young adults, up to 12.1 million may gain subsidized insurance once all the law's provisions go into effect in 2014: 7.2 million may gain coverage under Medicaid and 4.9 million may gain subsidized private coverage through the insurance exchanges. In addition, about 1 million uninsured young adults are expected to join their parents' policies over the next three years.
《患者保护与平价医疗法案》包含多项条款,有望遏制未参保青年成年人数量迅速上升的趋势,这些人群是未参保人口中规模最大的群体之一。这些条款包括:从2010年9月起,年满26岁的青年可加入父母的医保计划;从2014年起,大幅扩大医疗补助计划的资格范围;同样从2014年起,设立医疗保险交易所,为中低收入人群提供补贴型私人保险。在1480万未参保青年成年人中,一旦该法案所有条款于2014年生效,多达1210万人可能获得补贴型保险:720万人可能获得医疗补助计划的覆盖,490万人可能通过保险交易所获得补贴型私人保险。此外,预计在未来三年约有100万未参保青年成年人会加入其父母的医保政策。