On 5th Birthday, Affordable Care Act a Huge Advance of Freedom in Wisconsin

Five years after the passage of the Affordable Care Act the law is guaranteeing, more than any time in American history, the freedom of Wisconsinites to control their own health decisions. Before the Affordable Care Act passed, Americans faced shocking health insurance discrimination based on age, preexisting medical conditions, gender, and other factors. Today over 207,000 Wisconsinites have quality health coverage that can never be taken away by insurance companies.

There are substantial tax subsidies to make health coverage affordable which have an especially important benefit in a high cost state like Wisconsin. Because Wisconsin health insurance premiums are higher than surrounding states, Wisconsin health consumers gain substantially more. Local numbers and comparison charts are below.

As significant as these advances are, Governor Scott Walker’s refusal to prepare for the potential adverse decision in the U.S. Supreme Court decision of King v. Burwell threatens to take health coverage away from over 183,000 Wisconsinites who receive tax subsidies and have nowhere else to go. Many of these consumers have pre-existing conditions and faced shocking discrimination from insurance companies before the passage of health reform. Others were forced on the marketplace by Governor Walker’s ill-conceived decision to reject hundreds of millions of federal dollars for BadgerCare provided by the Affordable Care Act.

Table 1: Affordable Care Act’s Tax Credits Very Effective At Making Private Insurance More Affordable

(Click here to see data for more Metropolitan areas)

Metro

Lowest Cost Silver, before tax credits

After tax credits

Annual savings

Milwaukee, WI

$301 per month

$94 per month

$2,484

Madison, WI

$238

$109

$1,548

La Crosse, WI

$359

$109

$3,000

Eau Claire, WI

$323

$119

$2,448

Green Bay, WI

$266

$117

$1,764

Appleton/Oshkosh, WI

$272

$124

$1,776

Wausau, WI

$302

$121

$2,172

Janesville/Beloit, WI

$238

$109

$1,548

Racine/Kenosha, WI

$301

$112

$2,268

Sheboygan, WI

$258

$112

$1,752

Fond du Lac, WI

$250

$105

$1,740

Manitowoc, WI

$266

$117

$1,788

Stevens Point/Wis Rapids, WI

$302

$114

$2,256

Rhinelander, WI

$303

$78

$2,700

Superior, WI

$354

$118

$2,832

Hudson, WI

$375

$122

$3,036

Minneapolis, MN

$181

$121

$720

Chicago, IL

$212

$123

$1,068

Detroit. MI

$219

$116

$1,236

Des Moines, IA

$195

$116

$948

Data collected from Healthcare.gov and MNSure.org for 40 year old single applicant, non-smoking. Tax credits estimated for 40 year old single applicant making 200% of the federal poverty line, or $23,541 a year

 

Table 2: Affordable Care Act’s Outlawing of Pre-existing Condition Discrimination Protects Thousands

(Click here to see data for more Wisconsin localities)

 

Est. Number of Consumers With Diagnosed Pre-existing Conditions

Milwaukee County

214,600 people

Dane County

114,000

La Crosse County

26,800

Eau Claire/Chippewa County

38,200

Marathon County

31,000

Brown County

59,000

Calumet, Outagamie, Winnebago

93,300

Waukesha

90,600

Racine County

46,000

Sheboygan County

26,800

Kenosha County

38,500

Rock County

37,900

Ashland, Bayfield, Burnett, Douglas, Iron, Price, Rusk, Sawyer, Taylor, Washburn

45,200

Barron, Clark, Dunn, Polk, St. Croix

60,000

Adams, Forest, Juneau, Langlade, Lincoln, Oneida, Portage, Vilas, Wood

74,300

Buffalo, Crawford, Jackson, Monroe, Pepin, Pierce, Trempealeau, Vernon

47,900

Grant, Green, Iowa, Lafayette, Richland

34,800

Columbia, Dodge, Sauk

50,200

Door, Florence, Kewaunee, Manitowac, Marinette, Oconto

51,300

Fond du Lac, Green Lake, Marquette, Menominee, Shawano, Waupaca, Waushara

61,600

Jefferson, Walworth

43,800

Ozaukee, Washington

52,100

State Total

1,337,700

Estimates from Families USA analysis of consumers in Wisconsin of non-institutionalized, non-Medicare-eligible population

 

Table 3: Citizens Around Wisconsin Have Signed Up for Health Coverage

(Click here to see data for more Wisconsin counties

 

Est. County Enrollment

Est. Qualified for Tax Credits

Est. Total Tax Credits Annually

Adams

806

717

$2,745,561

Ashland

1,080

961

$3,677,919

Barron

2,574

2,291

$8,767,252

Bayfield

1,060

943

$3,610,954

Brown

8,127

7,233

$27,687,416

Buffalo

818

728

$2,786,771

Burnette

875

779

$2,982,514

Calumet

1,202

1,070

$4,095,162

Chippewa

3,580

3,186

$12,197,916

Clark

2,396

2,133

$8,164,568

Columbia

1,596

1,419

$5,434,461

Crawford

656

584

$2,235,598

Dane

13,199

11,747

$44,969,513

Dodge

2,613

2,325

$8,901,182

Door

2,013

1,791

$6,856,176

Douglas

1,760

1,566

$5,995,935

Dunn

1,866

1,660

$6,356,516

Eau Claire

3,998

3,558

$13,619,633

Florence

220

195

$746,917

Fond du Lac

2,955

2,629

$10,065,341

Forest

480

428

$1,638,065

Grant

1,953

1,739

$6,655,282

Green

1,205

1,073

$4,105,464

Green Lake

631

561

$2,148,028

Iowa

1,072

954

$3,652,163

Iron

655

582

$2,230,446

Jackson

924

822

$3,147,351

Jefferson

2,430

2,163

$8,277,893

Juneau

872

777

$2,972,211

Kenosha

5,370

4,780

$18,296,875

Kewaunee

884

787

$3,013,421

La Crosse

3,974

3,537

$13,537,215

Lafayette

739

658

$2,518,911

Langlade

1,107

985

$3,770,640

Lincoln

1,623

1,444

$5,527,180

Manitowoc

3,066

2,729

$10,446,526

Marathon

6,376

5,674

$21,722,387

Marinette

1,985

1,767

$6,763,456

Marquette

547

488

$1,864,716

Menominee

21

19

$72,116

Milwaukee

34,468

30,677

$117,430,699

Monroe

1,639

1,459

$5,583,844

Oconto

1,645

1,464

$5,604,448

Oneida

2,557

2,276

$8,710,590

Outagamie

5,658

5,036

$19,275,592

Ozaukee

2,916

2,596

$9,936,563

Pepin

441

393

$1,504,135

Pierce

1,400

1,246

$4,769,962

Polk

2,348

2,090

$7,999,731

Portage

3,344

2,977

$11,394,337

Price

1,101

980

$3,750,035

Racine

5,828

5,188

$19,857,672

Richland

727

648

$2,477,702

Rock

4,843

4,310

$16,499,124

Rusk

1,042

927

$3,549,140

Sauk

2,924

2,603

$9,962,318

Sawyer

2,201

1,959

$7,500,070

Shawano

1,044

929

$3,554,292

Sheboygan

1,744

1,551

$5,939,272

St Croix

3,366

2,996

$11,466,454

Taylor

1,552

1,382

$5,290,228

Trempealeau

1,253

1,115

$4,270,301

Unknown

18

16

$61,814

Vernon

1,205

1,073

$4,105,464

Vilas

1,995

1,775

$6,794,363

Walworth

3,876

3,450

$13,207,541

Washburn

1,065

947

$3,626,407

Washington

3,968

3,531

$13,516,610

Waukesha

9,906

8,817

$33,750,316

Waupaca

2,124

1,891

$7,237,361

Waushara

915

814

$3,116,444

Winnebago

5,083

4,524

$17,318,156

Wood

3,845

3,422

$13,099,367

 

 

 

 

Statewide

207,349

184,540

$706,418,002

Source - County enrollment distribution based on Dept of Health Services June 2014 enrollment report adjusted for most recent February Healthcare.gov state enrollment numbers. Total tax credits are based on local enrollment and HHS reported average Wisconsin tax credit, annualized.

 

 

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