But the push to repeal and replace the law has slowed amid concerns that millions of people could end up losing their insurance coverage. President Trump said earlier this month that the process might take until next year to complete.
In Ohio, more than 900,000 Ohioans, or nearly 10 percent of state’s population, have health coverage under provisions of the ACA. That includes nearly 239,000 Ohioans who have signed up for private health plans sold through the federal Health Insurance Marketplace created by the ACA, and more than 70,000 who obtained coverage through the ACA’s expanded Medicaid eligibility requirements, which were adopted in Ohio by Gov. John Kasich.
Gregg Hopkins, executive director of Community Health Centers of Greater Dayton, which includes Drew, said many of the more than 16,000 patients the health centers saw last year would likely have avoided visiting a doctor altogether if they had not been covered under the Medicaid expansion.
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About 70 percent of the patients the health centers saw last year had coverage under Medicaid, compared to 45 percent before Medicaid was expanded in 2014, Hopkins said.
Before the ACA, “Our patients would avoid making visits to the centers because of cost, and even though we discount our services based on family size and income,” he said. “They would use the emergency rooms for their primary care services, which is an even higher cost for the health systems. The system was broken.”