If Congress eliminates the Affordable Care Act, the healthcare provided to every resident of the county will be at risk.


Are YOU at risk?

Today, because of The Affordable Care Act (ACA), 105,917 Alameda County residents are enrolled as Medicaid Coverage Expansion (MCE) members in Alameda County’s Medi-Cal Managed Care Plans, and 64,110 Alameda County residents are enrolled in health insurance plans through the Covered California exchange. In total, over 170,000 Alameda County residents—or 10.4% of the population—are at immediate risk of losing their health insurance coverage if Congress repeals the ACA without a replacement plan.


Who is the Medicaid Coverage Expansion (MCE) Population?

Because of the Affordable Care Act, states have the option of expanding their Medicaid programs to cover all people with household incomes below a certain level. In states like California that chose to expand their Medicaid program, a person can qualify based on income alone. In other words, if your household income is below 133% of the federal poverty level, you qualify for California’s version of Medicaid, called Medi-Cal. (Because of the way this is calculated, it turns out to be 138% of the federal poverty level. A few states use a different income limit.). Here is a profile of the close to 106,000 Alameda County residents that are enrolled in Medi-Cal thanks to the Medicaid expansion.


Who is actively enrolled in private insurance plans through the Covered California Exchange?

Covered California is a marketplace created by the Affordable Care Act where individuals can shop for different types of health insurance plans, and it is the only place you can access financial assistance with your health insurance. Covered California is primarily for people who don’t have health insurance through a job, Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), or another source of qualifying coverage. Here is a snapshot of the over 64,000 individuals in Alameda County who have purchased their health insurance through Covered California.

Learn more about Covered California.


What would the economic impact of repeal be on jobs and GDP?

A study by Laurel Lucia and Ken Jacobs at the University of California, Berkeley found that repeal of the ACA could result in the loss to California of approximately $20.5 billion in annual federal funding for the Medi-Cal expansion and Covered California subsidies. This translates into a loss of approximately 209,000 jobs in California, the majority being in the healthcare industry, but many jobs would also be lost in the food service, insurance, employment services, janitorial, accounting, transportation, restaurant, retail, and local business sectors. California would also lose over $20 billion in total gross domestic product.

If the ACA is repealed, Alameda County will face:

  • 6,000 jobs lost, and
  • $603 million in lost gross domestic product.
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