University of Montana Rural Institute
Community Health and Preventive Medicine | Public Health
This fact sheet explores insurance rate changes associated with the Affordable Care Act (ACA) and Medicaid expansion on insurance coverage for rural and urban people with and without disabilities. Following the implementation of the ACA, rural people with disabilities had the greatest gains in insurance coverage. Rural people with disabilities in Medicaid expansion states saw a 10.7% increase in insurance coverage, compared to a 5.3% increase for those in non-expansion states. The loss of the ACA and Medicaid expansion could hurt rural people with disabilities more than their urban counterparts, or those without disabilities.
health and wellness, rural
© 2019 RTC:Rural
National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR)
The contents of this fact sheet were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90RTCP0002-01-00). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this fact sheet do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.
Research and Training Center on Disability in Rural Communities. (September 2019). ACA and Medicaid Expansion Associated with Increased Insurance Coverage for Rural Americans with Disabilities. Missoula, MT: The University of Montana, Rural Institute for Inclusive Communities.