Medicaid expansion will disproportionately impact Hispanics, and Hispanics have particularly high stakes in Medicaid expansion decisions made by a small number of states, including Texas, Florida, and California. Moreover, the data highlight the important opportunity provided by the Medicaid expansion to promote greater equity in health coverage and care and show that successfully enrolling Hispanics into coverage will be important for achieving overall success in reducing the number of uninsured. In the absence of the Medicaid expansion, poor uninsured adults will not gain a new coverage option and likely remain uninsured and continue to face barriers to accessing needed care. However, even with the expansion, many non-citizen Hispanics, including lawfully-present and undocumented immigrants, will continue to face Medicaid eligibility restrictions under the ACA. Targeted outreach and enrollment assistance will be important for enrolling eligible Hispanics into coverage, particularly culturally and linguistically appropriate one-on-one assistance provided by trusted individuals within the community. It also will be important to address challenges Hispanics face in accessing care, such as language and literacy barriers, to ensure coverage gains translate into improved care and outcomes. Community-based safety-net providers are often viewed as a trusted source for care among Hispanics and are able to offer culturally and linguistically appropriate services. These providers will likely play a key role in enrolling uninsured Hispanics in coverage and remain an important source of care for the population.
Download entire policy brief here: http://kaiserfamilyfoundation.files.wordpress.com/2013/04/8435_h.pdf