Affordable Care Act

Connecticut, like other states, launched an online health exchange -- Access Health CT -- where residents can shop for and purchase health insurance. There could be new opportunities for the unemployed or uninsured to receive health insurance. Here, we gather our coverage of changes under the new federal law.

Courtesy of Access Health CT

The third year of health insurance enrollment under the Affordable Care Act is here. But the goal now isn’t just increasing the number of people with insurance. It’s also making sure they go to the doctor. 

Month after month, Natalia Pedroza showed up at the doctor's office with uncontrolled diabetes and high blood pressure. Her medications never seemed to work, and she kept returning to the emergency room in crisis.

Walfred Lopez, a Los Angeles County community health worker, was determined to figure out why.

As a member of the Navajo tribe, Rochelle Jake has received free care through the Indian Health Service her entire life. The IHS clinics took care of her asthma, allergies and eczema — chronic problems, nothing urgent.

Recently, though, she felt sharp pains in her side. Her doctor recommended an MRI and other tests she couldn't get through IHS. To pay for them, he urged her to sign up for private insurance under the Affordable Care Act.

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The legislature recently made it harder for parents to stay on Husky, Connecticut's version of Medicaid. The state said that around 1,200 people risk losing their insurance coverage at the end of the month if they take no action.

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Fifty years ago, President Lyndon Johnson waged a war on poverty  to rebuild America as a “Great Society” where “no child will go unfed, and no youngster will go unschooled.” 

Medicaid was enacted in 1965 as part of sweeping legislation to provide food, education, healthcare and jobs to millions in poverty.  Once a benefit for poor single parents and their kids, Medicaid now covers mental illness, disabilities, the elderly and most recently, millions of the previously uninsured through Obamacare.

Jeff Cohen / WNPR

U.S. Senator Chris Murphy applauded today's Supreme Court decision upholding the part of the Affordable Care Act that allows the government to subsidize health care for the poor and middle class. 

Updated at 1 p.m. ET

The U.S. Supreme Court on Thursday handed the Obama administration a major victory on health care, ruling 6-3 that nationwide subsidies called for in the Affordable Care Act are legal.

"Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them," the court's majority said in the opinion, which was written by Chief Justice John Roberts. But they acknowledged that "petitioners' arguments about the plain meaning ... are strong."

As the Supreme Court edges closer to issuing an opinion that could deal a blow to the federal health exchange operating in more than 30 states, Democrats have sounded a warning to their colleagues on the other side: Be careful what you wish for.

The states that set up their own insurance marketplaces have nothing to lose in King v. Burwell, the big Supreme Court case that will be decided by the end of June. But that doesn't mean those states are breathing easy.

With varying degrees of difficulty, all of the state-based exchanges are struggling to figure out how to become financially self-sufficient as the spigot of federal start-up money shuts off.

Courtesy of Access Health CT

The agency that runs the state's insurance marketplace under Obamacare approved a new budget Thursday, and this will be the first year that Access Health CT will operate without substantial federal support. 

The future of Vermont’s health insurance exchange depends on the Shumlin administration’s ability to meet a looming deadline. Still unanswered, though, is the question of how to proceed if the milestone goes unmet. Lt. Gov. Phil Scott and top lawmakers think the solution might be in Connecticut.

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For one year, journalist Karen Brown set out to learn why more young doctors aren't choosing primary care. Her findings are now the subject of a new documentary, “The Path to Primary Care: Who Will Be The Next Generation of Frontline Doctors?” 

This hour, Karen joins us along with some primary care professionals to weigh in on the latest trends, and to tell us what the future of primary care looks like both here in the northeast and across America.

The politics of the Affordable Care Act in the state of Louisiana aren't subtle: The law isn't popular.

The state was part of the lawsuit to strike down Obamacare in 2012; it didn't expand Medicaid and has no plans to. Louisiana also didn't set up its own marketplace to sell health insurance.

The Affordable Care Act requires all Americans to get health insurance or pay a penalty. To help coax people to buy a health plan, the federal government now subsidizes premiums for millions of Americans.

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Open enrollment for the Affordable Care Act ended in February. But as WNPR's Jeff Cohen reports, uninsured Connecticut residents who just found out about the financial penalty in the law now have one more month to apply for coverage. 

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A dispute between Governor Dannel Malloy and the federal government over Medicaid reimbursement rates could cost state taxpayers an extra $45 million. 

A heavy workload caused by the Affordable Care Act, government technology limits and staff shortages are causing unusually long delays in filling public records requests, federal health officials say.

The waits in some cases could stretch out a decade or more.

The Freedom of Information Act requires federal agencies to respond to records requests in 20 working days, though providing documents often takes much longer. The FBI, for instance, recently reported that complex requests could average more than two years to fill.

Johnny Reynolds knew that something was wrong as far back as 2003. That's when he first started experiencing extreme fatigue.

"It was like waking up every morning and just putting a person over my shoulders and walking around with them all day long," says Reynolds, 54, who lived in Ohio at the time.

In addition, Reynolds was constantly thirsty and drank so much water that he would urinate 20 or 30 times per day. "And overnight I would probably get up at least eight or nine times a night," he says.

Jessica Hill / The Associated Press

A new report says Governor Dannel Malloy's plan to save the state money by reducing the number of people on Medicaid will harm low-income families. 

Mark Fischer (Flickr Creative Commons)

The nation's highest court again has the future of the president's signature health care law in its hands. 

The Supreme Court will hear arguments Wednesday from opponents who say it's being wrongly implemented. The case is called King v. Burwell, and the plaintiffs say the federal government is breaking the law when it pays subsidies to people buying health insurance through the three-dozen states in the federal exchange.