Affordable Care Act

More people in Texas had health insurance in 2014 than 2013 – the number of insured Texans went up by more than 700,000 people.

Still, according to numbers released by the U.S. Census Bureau on Wednesday, Texas had the highest rate of uninsured people in the U.S. in 2014. And now, it has the highest number of uninsured people, too. 

The U.S. Supreme Court has ruled to uphold the health insurance tax subsides in the case of King v. Burwell.

After much anticipation, the High Court ruled 6-3 this morning that people who received tax subsidies for health insurance premiums purchased on the federal exchange can keep them.

At issue in the case was whether four words in a section of the Affordable Care Act that deals with tax subsidies — "established by the state" — meant that only people who bought an Obamacare plan on a marketplace established by a state government can get a tax subsidy to help them pay for it. 

On Tuesday, the White House released numbers illustrating the effect of the Affordable Care Act here in Texas — numbers that came out on the same day that President Obama delivered a speech in which he described his signature health care law as a success.

President Obama spoke Tuesday at the Catholic Hospital Association conference in Washington, D.C. He told the audience the Affordable Care Act has turned out better than even its supporters expected.

"Nearly one in three Americans have already been covered," he said, receiving applause. "More than 16 million people driving our uninsured rate to its lowest level, ever. Ever."

Some Texans may have benefited more than others from the Affordable Care Act, according to research by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Since the implementation of the Affordable Care Act, the rate of uninsured Hispanics has dropped 38 percent. As of March this year, less than a quarter of Hispanics still didn't have health insurance.

The signup period to buy an Obamacare plan for 2015 ended last month, but now, there’s a separate window to sign up for a very specific group of people.

Elizabeth Colvin, the director of nonprofit Insure Central Texas, which helps people with the health insurance application process, says this is only for people who are penalized on their 2014 tax return for being uninsured last year.

As the legislative session picks up steam, dozens of people from across the state came to a rally on the Capitol steps Thursday to show support for Medicaid expansion in Texas under the Affordable Care Act.

Speakers included Texas residents and business community leaders like the president of the Texas Hospital Association and chambers of commerce. 

In a challenge to the Affordable Care Act heard recently by the Supreme Court, King v. Burwell, the argument was that people who bought health coverage on a federal exchange, like the one in Texas, cannot qualify for a tax credit to make the monthly premium cheaper. That's because of wording in the health care law that challengers of the legislation say only allows the IRS to give tax credits to people on a state exchange.

While that battle plays out in Washington, the federal government has released numbers this week showing how many people are receiving tax credits.

The U.S. Supreme Court hears arguments today over part of the Affordable Care Act. It’s a case that could have an impact on hundreds of thousands of Texans who bought insurance on the federal marketplace.

It comes on the heels of the Obama Administration’s announcement last month that some people who bought insurance through the online marketplace were given tax forms with incorrect information about their coverage in 2014.

Still, some Central Texans are still trying to cut through the confusion, even as the health law’s future hangs in the balance.

Ahead of Sunday's deadline, officials say consumers are stepping up enrollment for 2015 coverage under President Barack Obama's health care law. The President's top health official was in Austin Friday to encourage more Texans to enroll.

The end of the open enrollment period under the Affordable Care Act is less than a month away. In Austin, city leaders are pushing hard to get the word out.

At City Hall Thursday, some Austin City Council members reminded people they have until Feb. 15 to sign up.

"I just want to join my colleagues in this great group in getting the message out to folks that now is the time to do it," Austin Mayor Steve Adler says. "It’s easier than you think, and there’s more assistance available than you might think."

Hundreds of thousands of previously uninsured Texans have signed up for health insurance since the federal government began requiring it last year.

Still, Texas continues to have the highest rate of uninsured people in the country. The state doesn’t spend any money to promote the federal health insurance marketplace under the Affordable Care Act.

Last year, nonprofits spent much of the enrollment period educating people on the ACA. Their efforts were slowed by the botched rollout of the healthcare.gov website. In the second year of the insurance marketplace, some Texas nonprofits are changing their strategy, and insurers, hospitals, and city governments are also doing more to help people enroll.

People who qualify for health insurance through the federal marketplace should keep in mind some looming deadlines – like today, for people wanting coverage to start Feb. 1.

Open enrollment will end soon for those who qualify for a health insurance plan on the federal marketplace. That deadline is Feb. 15 for coverage that begins on March 1.

People who want their coverage to start Feb. 1 must enroll and pay for their health insurance plan by the end of today, Jan. 15.

Texas has the highest rate of uninsured people in the nation, and last legislative session, lawmakers did have some discussion on how Texas could draw down federal dollars to insure more people, but only if the options don't include expanding Medicaid under the Affordable Care Act.

At least one of the bills filed already would allow Medicaid expansion, but that doesn’t mean any will make it to the floor of the House or Senate for discussion.

Enrollment for plans on the health insurance exchange has started, but not many people know this.

"A recent Kaiser study reflected that less than 20 percent of those eligible to enroll in the marketplace exchange is aware that open enrollment is taking place today," says Jeff Hudson who works with UnitedHealthcare, one of the insurance providers on the marketplace in Texas this time around. "So it’s very important that you take the time to get connected, become aware and get enrolled by Feb. 15."

The first day of a new open enrollment period under the Affordable Care Act is Nov. 15 and lasts three months, through Feb. 15.

This time around, Central Texas consumers have 115 plans to choose from, up from 80 last period, and nine insurance companies are participating in this rating area. Rating areas are usually based on counties.

Open enrollment for the Affordable Care Act starts Nov. 15. In Texas, questions remain about the law and its effects.

On Nov. 18 at 6 p.m., KUT will host a discussion on how the law is changing health care in Texas and what's ahead for the second year of the health insurance marketplace.

Open enrollment for health insurance on the federal marketplace begins on Saturday. A new report suggests that if they buy a plan through the marketplace, Texas residents in big cities will pay slightly more than those in more rural areas.

Starting next week, people can once again start enrolling for health insurance on the federal marketplace. Consumers should expect a number of differences when they go on healthcare.gov this time.

Update:

A version of the story below by KUT's Veronica Zaragovia aired on WBUR's Here & Now. Listen to the story here.

Original story:

Although the Affordable Care Act has led to thousands of people in Texas getting insurance for the first time, many consumers aren’t turning to care at a doctor’s office.

Instead they’re turning to places that are convenient – places like Walmart.

A new study from Rice University's Baker Institute for Public Policy and the Episcopal Health Foundation finds the cost of health insurance on the new federal marketplace varies widely in Texas.

Researchers found almost half of Texans eligible for a tax subsidy for health insurance said plans were still too expensive. The Episcopal Health Foundation’s president, Elena Marks, says she and her colleagues went back to see what was unaffordable to many people.

The number of people in Texas without health insurance has declined by less than half a percentage point since implementation of the Affordable Care Act, according to a new report out by the Census Bureau. The number dropped from 22.5 percent in 2012 to 22.1 percent in 2013.

Now, some of the people who recently got coverage may lose it.

Today, the Texas Senate Affairs Committee heard testimony on the Affordable Care Act – from enrollment numbers to costs to identity theft concerns. The public hearing comes after Lt. Gov. David Dewhurst asked lawmakers to study what he called “emerging negative impacts” of the law.

About 734,000 people in Texas signed up for health insurance under the Affordable Care Act during the first enrollment period, and with another one about to begin, the Texas Department of Insurance says Texas has roughly 200 state-certified navigators who help people use healthcare.gov after taking federal and Texas-specific training courses.

Ahead of the next legislative session, state senators are talking about one of the most politically divisive federal programs – Medicaid. Or more specifically, how to avoid expanding Medicaid eligibility in Texas and still get more people insured.

Under the Affordable Care Act, Texas has at least two options for insuring more people. One is expanding Medicaid eligibility in Texas. The state’s Republican leadership doesn’t support that option.