Florida led the way with the highest number of people in the country who signed up for health insurance under the Affordable Care Act, with more than 3.2 million people enrolling, or 20 percent of the country’s totals.
A record 16.3 million people nationwide signed up for plans on the federal health insurance exchange during the open enrollment period, which began Nov. 1 and ended on Jan. 15, the Centers for Medicare & Medicaid Services reported Wednesday.
In Florida, enrollment ballooned to 3.2 million, a 19% jump over last year’s open enrollment period under the health law, commonly known as Obamacare. The 3.2 million represents 20 percent of all enrollees nationwide, even though Florida, the third most populous state in the country with 22 million people, accounts for only about 7 percent of the U.S. population.
While county-specific data for the 2023 enrollment period isn’t available yet, Miami-Dade County has previously led the country in Obamacare enrollments.
For University of Miami professor Dr. Olveen Carrasquillo, an expert on the Affordable Care Act, Florida’s enrollment spike is likely an indication ofoutreach efforts, a lack of jobs that provide health coverage, and that Florida is one of 11 states that did not expand Medicaid eligibility through the Affordable Care Act (ACA).
About 425,000 adults in Florida don’t have health insurance because they are too poor to qualify for coverage under the ACA and the state hasn’t expanded Medicaid, according to the Center on Budget and Policy Priorities. More than half of those adults are Hispanic or Black.
“It shows that there’s a major need for health insurance in our state,” said Carrasquillo, who serves as UM’s dean for Clinical and Translational Research and is also co-director of the Clinical Translational Science Institute.
Almost a million Floridians could lose their Medicaid coverage starting in April once the federal COVID-19 emergency comes to an end, and because Florida didn’t expand its Medicaid eligibility.
Floridians fall into this coverage gap because their incomes fall above the state’s eligibility for Medicaid but below the federal poverty line, making them ineligible for Medicaid, a health insurance program run jointly by the federal government and states. They would also be ineligible for coverage within the Affordable Care Act marketplace.
To qualify for Medicaid in Florida, parents must earn less than 31 percent of the federal poverty line, or less than $6,807 for a family of three, the Center on Budget and Policy Priorities estimates.
What about other states?
Texas has the second-highest enrollment in Affordable Care Act plans among states that used the federal marketplace, with 2.4 million enrollees, according to the Centers for Medicare & Medicaid Services.
California, which is one of 18 states that used a state-based marketplace, came in third with 1.7 million people signing up for Affordable Care Act plans. In fourth and fifth place are Georgia (879,084) and North Carolina (800,850), respectively.
For other state enrollment figures, visit cms.gov. To check your coverage eligibility, visit healthcare.gov.
