Gong Gordon, Huey Cassandra C, Johnson Coleman, Curti Debra, Philips Billy U
Tex Med. 2017 Mar 1;113(3):e1.
Households with incomes between 18% and 99% of the federal poverty level (FPL) are ineligible for Medicaid or enrollment in the health insurance exchange marketplace in Texas, resulting in the health insurance gap. We sought to determine the number of non-elderly adult Texans (NEATs) aged between 18 and 64 years in the insurance gap in rural vs urban areas in East Texas, West Texas, and South Texas. Data were obtained from the US Census Bureau website. In 2014, there were 1,101,000 NEATs in the insurance gap, accounting for 24.5% of all uninsured persons in Texas. The gap was significantly higher in rural vs urban areas in East and South Texas and in Texas as a whole. Large coverage gaps in states like Texas not expanding Medicaid under the Affordable Care Act pose major hurdles to reducing the number of uninsured individuals in these states.
家庭收入在联邦贫困线（FPL）的18%至99%之间的人群无资格享受医疗补助，也无法在得克萨斯州的医疗保险交易所市场参保，这导致了医疗保险缺口。我们试图确定东得克萨斯、西得克萨斯和南得克萨斯农村与城市地区处于保险缺口的18至64岁非老年成年得克萨斯人（NEATs）的数量。数据取自美国人口普查局网站。2014年，有110.1万NEATs处于保险缺口，占得克萨斯州所有未参保人员的24.5%。在东得克萨斯和南得克萨斯的农村与城市地区以及整个得克萨斯州，这一缺口在农村地区明显更高。像得克萨斯州这样未根据《平价医疗法案》扩大医疗补助的州存在的巨大覆盖缺口，给减少这些州未参保人员数量带来了重大障碍。
