Agabin Nataly, Coffin Janis
J Med Pract Manage. 2015 Mar-Apr;30(5):345-8.
Although with the implementation of the Patient Protection and Affordable Care Act millions of previously uninsured American residents will gain access to healthcare coverage, millions more will remain uninsured due to the lack of mandatory state Medicaid expansion as well as mandates that forbid undocumented immigrants and legal residents of less than five years from purchasing insurance through the newly available market exchange. With limited options for healthcare coverage due to employment and lack of citizen status, undocumented immigrants rely heavily on funds provided by both Emergency Medicaid and Disproportionate Share Hospital programs. Through reevaluation of current funding, mandates forbidding access to market exchanges, and plans to further enable access to affordable health coverage, states have the unique opportunity to both aid their residents and relieve the financial burden on healthcare facilities and Emergency Medicaid funds.
尽管随着《患者保护与平价医疗法案》的实施，数以百万计此前未参保的美国居民将获得医保覆盖，但仍有数百万人会因州政府未强制扩大医疗补助计划，以及禁止非法移民和居住年限不足五年的合法居民通过新设立的市场交易所购买保险的规定而依然没有医保。由于就业及公民身份限制导致医保覆盖选择有限，非法移民严重依赖紧急医疗补助计划和医院不均等份额补助计划提供的资金。通过重新评估现有资金、禁止参与市场交易所的规定，以及进一步扩大获得可负担医保覆盖范围的计划，各州有独特的机会既能帮助本州居民，又能减轻医疗机构和紧急医疗补助资金的财政负担。
