July 2014

Benefits of the Health Care Reform Law in the

33rd Congressional District of California Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Waxman’s district. As a result of the law:

There are 17,000 district residents who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 50%.

Approximately 13,300 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 15,500 enrolled in Medicaid, and 7,500 young adults were able to retain

coverage through their parents’ plans. For the majority of the individuals enrolled in the health

insurance marketpace, financial assistance was available that substantially reduced the cost of

coverage - in many cases to less than $100 per month.

353,000 individuals in the district – including 63,000 children and 154,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

12,000 seniors in the district received Medicare Part D prescription drug discounts worth $17.5

million.

126,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

1 Assumes 60% of Marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

329,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 48,400 individuals in the district received

approximately $3.9 million in insurance company rebates.

Up to 31,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

329,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

1st Congressional District of Colorado Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

DeGette’s district. As a result of the law:

There are 38,000 district residents who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 32%.

Approximately 20,200 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 43,400 enrolled in Medicaid, and 8,000 young adults were able to retain

coverage through their parents’ plans. For the majority of the individuals enrolled in the health

insurance marketpace, financial assistance was available that substantially reduced the cost of

coverage - in many cases to less than $100 per month.

283,000 individuals in the district – including 51,000 children and 121,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

6,900 seniors in the district received Medicare Part D prescription drug discounts worth $9.3

million.

110,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

1 Assumes 60% of Marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

247,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 27,900 individuals in the district received

approximately $5.6 million in insurance company rebates.

Up to 37,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

247,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

14th Congressional District of Florida Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Castor’s district. As a result of the law:

There are 24,100 individuals in the district who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 15%.

40,100 individuals in the district purchased quality, affordable coverage through the new health

insurance marketplace and 9,800 young adults were able to retain coverage through their parents

plans. For 91% of individuals enrolled in the health insurance marketplace, financial assistance

reduced the cost of the average plan to $68 per month.

43,000 individuals in the district who would otherwise be covered remain uninsured because the

state has refused to expand Medicaid.

222,000 individuals in the district – including 41,000 children and 94,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

43,000 seniors in the district received Medicare Part D prescription drug discounts worth $8.2

million.

1 Assumes 60% of marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

87,000 seniors in the district are now eligible for Medicare preventive services without paying any

co-pays, coinsurance, or deductible.

181,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 43,000 individuals in the district received

approximately $7.5 million in insurance company rebates.

Up to 39,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

181,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

1st Congressional District of Iowa Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Braley’s district. As a result of the law:

There are 18,000 district residents who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 30%.

Approximately 7,000 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 23,000 enrolled in Medicaid, and 5,100 young adults were able to retain

coverage through their parents’ plans. For more than 83% of the individuals enrolled in the health

insurance marketplace, financial assistance was available that could reduce the cost of the average

plan to $108 per month.

320,000 individuals in the district – including 65,000 children and 130,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

9,100 seniors in the district received Medicare Part D prescription drug discounts worth $12.5

million.

129,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

1 Assumes 60% of Marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

278,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 9,100 individuals in the district received

approximately $860,000 in insurance company rebates.

Up to 43,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

278,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

9th Congressional District of Illinois Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Schakowsky’s district. As a result of the law:

There are 20,000 district residents who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 45%.

Approximately 13,300 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 19,900 enrolled in Medicaid, and 6,600 young adults were able to retain

coverage through their parents’ plans. For more than 76% of the individuals enrolled in the health

insurance marketplace, financial assistance was available that could reduce the cost of the average

plan to $114 per month.

283,000 individuals in the district – including 51,000 children and 120,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

8,700 seniors in the district received Medicare Part D prescription drug discounts worth $13.8

million.

102,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

1 Assumes 60% of Marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

251,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 17,300 individuals in the district received

approximately $4.4 million in insurance company rebates.

Up to 36,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

251,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

3rd Congressional District of Kentucky Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Yarmuth’s district. As a result of the law:

There are 36,000 district residents who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 34%.

Approximately 14,500 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 45,100 enrolled in Medicaid, and 8,000 young adults were able to retain

coverage through their parents’ plans. For the majority of the individuals enrolled in the health

insurance marketpace, financial assistance was available that substantially reduced the cost of

coverage - in many cases to less than $100 per month.

276,000 individuals in the district – including 50,000 children and 118,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

12,300 seniors in the district received Medicare Part D prescription drug discounts worth $18.5

million.

113,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

1 Assumes 60% of Marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

231,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 43,700 individuals in the district received

approximately $6.3 million in insurance company rebates.

Up to 40,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

231,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

12th Congressional District of Michigan Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Dingell’s district. As a result of the law:

There are 20,000 district residents who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 27%.

Approximately 18,400 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 15,700 enrolled in Medicaid, and 8,500 young adults were able to retain

coverage through their parents’ plans. For more than 87% of the individuals enrolled in the health

insurance marketplace, financial assistance was available that could reduce the cost of the average

plan to $97 per month.

290,000 individuals in the district – including 54,000 children and 123,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

6,200 seniors in the district received Medicare Part D prescription drug discounts worth $7.9

million.

107,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

1 Assumes 60% of Marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

252,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 8,600 individuals in the district received

approximately $3.4 million in insurance company rebates.

Up to 39,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

252,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

1st Congressional District of North Carolina Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Butterfield’s district. As a result of the law:

There are 18,500 individuals in the district who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 14%.

30,900 individuals in the district purchased quality, affordable coverage through the new health

insurance marketplace and 8,200 young adults were able to retain coverage through their parents’

plans. For 91% of individuals enrolled in the health insurance marketplace, financial assistance

reduced the cost of the average plan to $81 per month.

39,000 individuals in the district who would otherwise be covered remain uninsured because the

state has refused to expand Medicaid.

209,000 individuals in the district – including 32,000 children and 99,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

13,200 seniors in the district received Medicare Part D prescription drug discounts worth $9.7

million.

1 Assumes 60% of marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

130,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

155,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 13,200 individuals in the district received

approximately $2.3 million in insurance company rebates.

Up to 41,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

155,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

3rd Congressional District of New Mexico Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Lujan’s district. As a result of the law:

There are 25,000 district residents who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 17%.

Approximately 12,500 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 28,800 enrolled in Medicaid, and 7,700 young adults were able to retain

coverage through their parents’ plans. For more than 78% of the individuals enrolled in the health

insurance marketplace, financial assistance was available that could reduce the cost of the average

plan to $120 per month.

202,000 individuals in the district – including 46,000 children and 84,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

5,600 seniors in the district received Medicare Part D prescription drug discounts worth $7.3

million.

105,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

1 Assumes 60% of Marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

163,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 5,600 individuals in the district received

approximately $100,000 in insurance company rebates.

Up to 43,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

163,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

20th Congressional District of New York Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Tonko’s district. As a result of the law:

There are 11,000 district residents who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 23%.

Approximately 8,700 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 10,000 enrolled in Medicaid, and 6,500 young adults were able to retain

coverage through their parents’ plans. For more than 74% of the individuals enrolled in the health

insurance marketplace, financial assistance was available that substantially reduced the cost of

coverage - in many cases to less than $100 per month.

314,000 individuals in the district – including 54,000 children and 137,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

12,100 seniors in the district received Medicare Part D prescription drug discounts worth $16.0

million.

124,000 seniors in the district are now eligible for Medicare preventive services without paying

any co-pays, coinsurance, or deductible.

1 Assumes 60% of Marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

262,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 43,600 individuals in the district received

approximately $5.6 million in insurance company rebates.

Up to 37,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

262,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in the

29th Congressional District of Texas Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Rep.

Green’s district. As a result of the law:

There are 19,900 individuals in the district who were previously uninsured but now have quality,

affordable health coverage because of the Affordable Care Act.1 Overall, the number of uninsured

district residents has declined by 8%.

33,200 individuals in the district purchased quality, affordable coverage through the new health

insurance marketplace and 11,000 young adults were able to retain coverage through their

parents’ plans. For 84% of individuals enrolled in the health insurance marketplace, financial

assistance reduced the cost of the average plan to $72 per month.

52,000 individuals in the district who would otherwise be covered remain uninsured because the

state has refused to expand Medicaid.

142,000 individuals in the district – including 29,000 children and 54,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

24,600 seniors in the district received Medicare Part D prescription drug discounts worth $3.6

million.

1 Assumes 60% of marketplace and Medicaid enrollees were previously uninsured based on Kaiser

Family Foundation and Commonwealth Fund Survey data.

58,000 seniors in the district are now eligible for Medicare preventive services without paying any

co-pays, coinsurance, or deductible.

121,000 individuals in the district are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 24,600 individuals in the district received

approximately $3.7 million in insurance company rebates.

Up to 55,000 children in the district with preexisting health conditions can no longer be denied

coverage by health insurers.

121,000 individuals in the district now have insurance that cannot place annual or lifetime limits

on their coverage.

July 2014

Benefits of the Health Care Reform Law in

Vermont Committee on Energy and Commerce Democratic Staff Report

This year, the landmark new health insurance marketplaces established by the Affordable Care Act

(ACA) started operation, and for the first time tens of millions of Americans became eligible to sign up

for quality, affordable coverage through private plans or Medicaid. With the law now fully in effect,

Americans can never again be discriminated against because of a pre-existing condition, women can

never be charged more for coverage because of their gender, and Americans will never be sold health

insurance policies that disappear when they need coverage most.

To date, more than 8 million Americans have signed up for private coverage through the marketplaces,

6.7 million more Americans have enrolled in Medicaid, more than 3 million young adults gained coverage

through their parents’ plans, and hundreds of millions of Americans with employer based coverage and

Medicare have improved benefits. The number of Americans without health insurance has declined by

25% since 2013.

Since the law was enacted, health care spending increases have slowed significantly, over 9.6 million

private sector jobs have been created, and the federal deficit has declined by more than $1 trillion.

This fact sheet summarizes new data on the significant benefits of the health care reform law in Vermont.

As a result of the law:

Approximately 39,200 individuals purchased quality, affordable coverage through the new health

insurance marketplace, 48,200 enrolled in Medicaid, and 5,000 young adults were able to retain

coverage through their parents’ plans. For the majority of the individuals enrolled in the health

insurance marketplace, financial assistance was available that substantially reduced the cost of

coverage - in many cases to less than $100 per month.

254,000 individuals in the state – including 40,000 children and 112,000 women – now have

health insurance that covers preventive services without any co-pays, coinsurance, or deductible.

6,100 seniors in the state received Medicare Part D prescription drug discounts worth $9.4

million.

118,000 seniors in the state are now eligible for Medicare preventive services without paying any

co-pays, coinsurance, or deductible.

201,000 individuals in the state are protected by ACA provisions that prevent insurance

companies from spending more than 20% of their premiums on profits and administrative

overhead. Because of these protections, over 6,100 individuals in the state received

approximately $2.5 million in insurance company rebates.

Up to 31,000 children in the state with preexisting health conditions can no longer be denied

coverage by health insurers.

201,000 individuals in the state now have insurance that cannot place annual or lifetime limits on

their coverage.