[{"@context":"https:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/www.rizklaw.com\/blog\/oregons-basic-health-program-to-fill-medicaid-coverage-gap\/#BlogPosting","mainEntityOfPage":"https:\/\/www.rizklaw.com\/blog\/oregons-basic-health-program-to-fill-medicaid-coverage-gap\/","headline":"Oregon\u2019s Basic Health Program to Fill Medicaid Coverage Gap","name":"Oregon\u2019s Basic Health Program to Fill Medicaid Coverage Gap","description":"Oregonians\u00a0with incomes\u00a0over 138 percent of the federal poverty level who earn too much to qualify for expanded Medicaid,\u00a0who are also without employer paid health insurance,\u00a0are in a coverage gap. New Federal Medicaid\/Medicare Standards In 2014, the Oregon Center for Public Policy estimated that about 120,000 Oregonians who must get health insurance or pay a fine...","datePublished":"2016-11-12","dateModified":"2025-01-08","author":{"@type":"Person","@id":"https:\/\/www.rizklaw.com\/blog\/author\/rizklaw\/#Person","name":"Rizk Law","url":"https:\/\/www.rizklaw.com\/blog\/author\/rizklaw\/","identifier":9,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/10e23ce5e6c4dadb4589cd8edf2c3f59ac356a6e876c3656917777913d9c3bc1?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/10e23ce5e6c4dadb4589cd8edf2c3f59ac356a6e876c3656917777913d9c3bc1?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"Rizk Law","logo":{"@type":"ImageObject","@id":"https:\/\/www.rizklaw.com\/wp-content\/uploads\/2024\/03\/rizk-law-logo-footer.jpg","url":"https:\/\/www.rizklaw.com\/wp-content\/uploads\/2024\/03\/rizk-law-logo-footer.jpg","width":278,"height":65}},"image":{"@type":"ImageObject","@id":"https:\/\/www.rizklaw.com\/wp-content\/uploads\/2024\/03\/Richard-Rizk-headshot.jpg","url":"https:\/\/www.rizklaw.com\/wp-content\/uploads\/2024\/03\/Richard-Rizk-headshot.jpg","width":383,"height":427},"url":"https:\/\/www.rizklaw.com\/blog\/oregons-basic-health-program-to-fill-medicaid-coverage-gap\/","about":["Insurance Issues"],"wordCount":368,"articleBody":"Oregonians\u00a0with incomes\u00a0over 138 percent of the federal poverty level who earn too much to qualify for expanded Medicaid,\u00a0who are also without employer paid health insurance,\u00a0are in a coverage gap.New Federal Medicaid\/Medicare StandardsIn 2014, the Oregon Center for Public Policy estimated that about 120,000 Oregonians who must get health insurance or pay a fine would remain uninsured by 2019.\u00a0Of that group, nearly half would be low-income people with incomes below 200 percent of the federal poverty line\u00a0who earn too much to qualify for expanded Medicaid under the Oregon Health Plan.Oregon is not the only state experiencing this coverage gap. To address the problem, in March 2014 the Center for Medicare and Medicaid Services (CMS) established standards for the Basic Health Program, allowing states to access federal funds to establish alternative subsidy programs for low-income individuals who don\u2019t qualify for expanded Medicaid coverage.In January 2016, New York State made an official request for certification of its Basic Health Program. In April of that same year, the state of Minnesota also applied for certification.Oregon Presents Study\u00a0Report to LegislatureIn 2014, the US Department of Consumer and Business Services, in collaboration with the Oregon Health Authority (OHA), and in consultation with a stakeholder advisory group, presented its \u201cOregon Basic Health Program Study\u201d report to the Legislature.Once established, Oregon\u2019s Basic Health Program would be an affordability program (IAP)\u00a0offering coverage in place of Marketplace coverage at a much lower cost for those with incomes from 138 to 200 percent of the federal poverty level.\u00a0Under this program, a\u00a0three person household with a combined income of up to $40,180 would qualify for coverage. Similarly, a\u00a0two person household earning up to $31,860 would qualify for coverage and a single person household earning up to $23,540 also would qualify.The Basic Health Program established by the Affordable Care Act through the Center for Medicare and Medicaid Services (CMS) also provides an opportunity to expand coverage to those above 200 percent of the poverty level still uninsured and to offer more affordable premiums and cost-sharing for low-income residents.Disclaimer: Our law firm does not handle home insurance claims. We exclusively handle insurance claims related to auto injuries, trucking accidents, and dog bite cases."},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Blog","item":"https:\/\/www.rizklaw.com\/blog\/#breadcrumbitem"},{"@type":"ListItem","position":2,"name":"Oregon\u2019s Basic Health Program to Fill Medicaid Coverage Gap","item":"https:\/\/www.rizklaw.com\/blog\/oregons-basic-health-program-to-fill-medicaid-coverage-gap\/#breadcrumbitem"}]}]