Your Source for Health Reform

Topic: Special Populations



Special populations such as immigrants, the uninsured, the unbanked, and people with low English skills require special outreach efforts to connect them with the benefits the ACA is intended to provide. Some groups, such as refugees and Pacific Islanders, have special provisions for them in the law. And certain demographic groups, such as the young people and healthy people, are important to the the program’s success. The ACA also particularly impacts the LGBTQ community, populations affected by chronic disease, and people impacted by circumstances like domestic violence.


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Application Process for Families that Include Immigrants

This resource from the Center on Budget and Policy Priorities offers an in-depth guide including general rules of immigrant eligibility for healthcare, eligibility factors for federal non-emergency Medicaid and CHIP, as well as showing which immigrant statuses qualify for marketplace coverage.

ACA and Agricultural Workers

This guide from NerdWallet offers a concise breakdown of how the ACA benefits agricultural workers. It lists health benefits, types of health insurance plans, financial assistance options, and ways to purchase coverage.

ACA and Rural Areas

About 50 million people, or 16% of the U.S. population, live in rural areas. The rural population is poorer and less likely to be covered by employer-based insurance than the metropolitan population, and nearly two-thirds of uninsured people in rural areas live in a state that is not currently implementing the Medicaid expansion. This May 2014 brief from the Kaiser Family Foundation includes multiple charts highlighting this data.

ACA Impact on Asian American Small Business

This issue brief from Shriver Center on Poverty Law and the Asian American Health Coalition details demographics of Asian American small business, coverage options and challenges for Asian American businesses under the ACA, and recommendations on how to enroll this population.

Marketplace Application and Citizenship

This fact sheet from CMS answers the citizenship questions that will be asked on the Marketplace application, including the differences between types of citizenship, how to verify your citizenship status, and the immigration documents that are required for the application.

Smoking, Obesity, Insurance and Incentives

This article from JAMA discusses how insurers of individual policies are no longer able to discriminate according to preexisting conditions, so ACA makes individual policies more in line with other forms of insurance.

A Culture of Coverage for Justice-Involved Adults in Illinois

A resource guide for implementing the ACA for criminal justice personnel in Illinois from the Illinois Healthcare Implementation Council. It outlines when and how to best link justice involved individuals with the services they need, and provides resources and materials about enrolling justice-involved adults in health benefits.

ACA Training for Organizations Serving Immigrant Communities

This training workshop for community based organizations serving immigrant communities was presented by the Sargent Shriver National Center on Poverty Law, EverThrive Illinois, Asian Health Coalition and Illinois Coalition for Immigrant & Refugee Rights. (more…)

ACA Guides for Farmworker Families

These fact sheets from Farmworker Justice provide basic information on health insurance options for farmworkers and their family members who may be eligible for tax credits, as well as providing information about the health insurance requirement (the “minimum essential coverage” provision). The fact sheets are available in English and Spanish. (more…)

Health Care Access and Coverage for the LGBT Community

This February 2014 brief from the Kaiser Family Foundation examines what is known about LGBT health status, coverage, and access, and looks at recent changes within the legal and policy landscape which serve to increase access including the Affordable Care Act and Supreme Court’s DOMA decision. Both have the potential to dramatically reduce the rate of uninsured and make the health system more equitable in LGBT communities, although questions remain.

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