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Louisiana teachers' union concerned about educators' future; Supreme Court hears arguments in Trump immunity case; court issues restraining order against fracking waste-storage facility; landmark NE agreement takes a proactive approach to CO2 pipeline risks.

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Speaker Johnson accuses demonstrating students of getting support from Hamas. TikTok says it'll challenge the ban. And the Supreme Court dives into the gray area between abortion and pregnancy healthcare, and into former President Trump's broad immunity claims.

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The urban-rural death divide is widening for working-age Americans, many home internet connections established for rural students during COVID have been broken, and a new federal rule aims to put the "public" back in public lands.

Report: Medicaid Gap Hits MT, Rural States Hardest

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Monday, December 23, 2013   

HELENA, Mont. - Today is the deadline for applying for insurance under the Affordable Care Act, and because Montana did not accept federal Medicaid funding, thousands have fallen into what's being called the "Medicaid gap."

Jon Bailey, director of rural policy at the Center for Rural Affairs, did some research into how state decisions to reject federal Medicaid assistance affect working people in rural areas, and found that rural residents - including about 43,000 Montanans - are more likely to be in that situation than urban dwellers.

"They simply don't have enough money to buy insurance on their own, they don't qualify for the tax credits on the marketplaces, their employers don't provide it, so they really have no other options," Bailey said.

Nationwide, he found that 1.8 million rural and small-town people fall into the coverage gap because their states have rejected Medicaid funding.

Another note that Bailey found interesting is that the percentage affected by the Medicaid gap is about the same as those who found out their insurance policies would be canceled because they didn't comply with federal law, though that situation had a very different ending after what Bailey called "constant media coverage." Those policies were allowed to stand.

"So, we moved heaven and earth for that group of people; now we have these 1.8 million rural people who don't have any options for health insurance and very little is being done for them," he said.

Additional Medicaid funding was part of the Affordable Care Act. A U.S. Supreme Court ruling made it optional for states to accept the funding, and just over half have accepted it, with Arkansas and Arizona being among the latest.

Report, "Medicaid Expansion as a Rural Issue: Rural and Urban States and the Expansion Decision," is at files.cfra.org.




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