Affordable Care Act

A Shots post earlier this week by NPR's John Ydstie detailed the "family glitch" in the Affordable Care Act. That's where people who can't afford their insurance at work aren't eligible for help in the new insurance exchanges. Many of these Americans, most of whom make middling incomes, will remain uninsured.

That story got us wondering: Who else is getting left out by health law? And who is getting coverage?

Don Benfield of Taylorsville, N.C., makes $11 an hour working for a mobile-home parts business, selling things like replacement doors and windows.

Benfield, 51, doesn't have health insurance.

"I haven't had health care insurance in years, simply because I haven't been able to afford it, especially with food prices, how they went up," he explains.

Benfield's employer does offer health insurance coverage, even though, with fewer than 50 employees, the business is not required to.

Premiums Go Up, So Might Enrollment

Dec 1, 2014
Healthcare.gov

It’s that time of year — the open enrollment period for health plans.

In the second year of insurance exchanges established by the Affordable Care Act, premiums in Louisiana, as elsewhere, will be higher on average.

“And there are some understandable reasons for that," said Insurance Commissioner Jim Donelon. The No. 1 reason is that insurers can no longer turn away people with pre-existing conditions. "They have to take all comers."


Ann Marie Awad

Ahead of the Dec. 6 runoff, we’ve invited each of the candidates for Congress in the 6th District and for Senate for an interview. 

Democratic incumbent Mary Landrieu was on the campaign trail — literally — driving from Shreveport to Baton Rouge — when WRKF’s Amy Jeffries reached her to talk about some of the big issues in the Senate race, starting with Obamacare.

HealthCare.gov barely worked when it launched last fall, with only six people able to enroll in a plan on opening day.

During the last legislative session, state Sen. Ben Nevers fought hard for the expansion of Medicaid in Louisiana under the Affordable Care Act. But ultimately, a bill to put the issue on the ballot didn’t even make it out of committee. 

But the legislature did pass another bill from Nevers, compelling the state Department of Health and Hospitals to come up with a plan for Louisiana to pilot “America Next” — Gov. Bobby Jindal’s alternative to Obamacare. 

DHH put out their initial report in response a few weeks ago.


The Hope Clinic in southwest Houston is in the very heart of Asia Town, a part of the city where bland strip malls hide culinary treasures — Vietnamese pho, Malaysian noodles, Sichuan rabbit and bubble tea.

Inside the clinic, internist Charu Sawhney sees patients from many countries and circumstances. She's a big believer in the Affordable Care Act since most of her patients have been uninsured. She actively pushed many of them to sign up for the new plans.

One of the most watched issues before the Supreme Court this term may turn on the question of religious freedom. But it will also likely determine how women will be able to access a key provision of the Affordable Care Act – one seeking to guarantee no-cost prescription contraception in most health insurance plans.

"Welcome to Cigna," said the letter, dated May 16, on behalf of my new employer, the Kaiser Family Foundation. The letter also said the insurer was placing me on a one-year waiting period for any pre-existing conditions.

Seriously? Wasn't the health law supposed to end that?

"We have reviewed the evidence of prior creditable coverage provided by you and/or your prior carrier and have determined that you have 0 days of creditable coverage," the letter said.

When the Affordable Care Act was unveiled, business groups railed against the provision that requires companies with 50 or more employees to provide health insurance for their full-time workers.

The Obama administration responded by pushing back the deadline for the coverage, so it hasn't yet taken effect. Now support for this so-called employer mandate is eroding in some surprising quarters.

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