What Health Care Reform Means for Immigrants: Comparing the Affordable Care Act and Massachusetts Health Reforms
What Health Care Reform Means for Immigrants: Comparing the Affordable Care Act and Massachusetts Health Reforms
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DOI：
10.1215/03616878-3445632
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发表时间：
2016-02-01
影响因子：
4.2
通讯作者：
Joseph, Tiffany D.
中科院分区：
文献类型：
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作者：
Joseph, Tiffany D.
2010年通过的《患者保护和平价医疗法案》（ACA）将从2014年开始为美国人提供更多的平价医疗保险。《平价医疗法案》仿照2006年马萨诸塞州的医疗改革，包括个人强制医保、扩大医疗补助计划，以及中等收入个人可以从私人保险公司购买保险的医疗交易。然而，尽管ACA的规定排除了所有无证移民和部分有证移民，马萨诸塞州利用州和医院的资金将覆盖范围扩大到这些群体。本文以马萨诸塞州的ACA改革作为比较案例研究来考察ACA改革，概述公民身份如何影响两种政策下个人的保险选择。然后，本文简要讨论了为ACA不合格移民提供覆盖的其他州，以及ACA在全国范围内对移民和公民实施不平衡的影响。
The 2010 Patient Protection and Affordable Care Act (ACA) was passed to provide more affordable health coverage to Americans beginning in 2014. Modeled after the 2006 Massachusetts health care reform, the ACA includes an individual mandate, Medicaid expansion, and health exchanges through which middle-income individuals can purchase coverage from private insurance companies. However, while the ACA provisions exclude all undocumented and some documented immigrants, Massachusetts uses state and hospital funds to extend coverage to these groups. This article examines the ACA reform using the Massachusetts reform as a comparative case study to outline how citizenship status influences individuals' coverage options under both policies. The article then briefly discusses other states that provide coverage to ACA-ineligible immigrants and the implications of uneven ACA implementation for immigrants and citizens nationwide.