DeLissio thanks Wolf for simple expansion of Medicaid in Pennsylvania

HARRISBURG, Feb. 9 – As a longtime supporter of expanding Medicaid in Pennsylvania, state Rep. Pamela A. DeLissio, D-Montgomery/Phila., expressed her support for Gov. Tom Wolf’s directive today to fully expand Medicaid under the federal Affordable Care Act.

“Withdrawing HealthyPA in exchange for complete Medicaid expansion in Pennsylvania, as Governor Tom Wolf set forth today, not only represents a commitment to the health and well-being of hundreds of thousands of Pennsylvanians who need health-care coverage now, but it also begins to help put our state budget back together,” she said. “We lost millions of dollars in revenue by not opting in effective Jan. 1, 2014. This decision will add millions to a struggling budget and create thousands of new jobs, which will also help our economy move forward.

“More importantly this decision ensures that the estimated half-million friends and neighbors who were without access to health care will soon have access to adequate care. Many who fell within the Medicaid ‘gap’ were the low-income wage earners. They earned too much for regular Medicaid but not enough to qualify for a subsidy under the ACA.

“I am thankful that the governor moved quickly – making this decision on his 21st day in office.”

The Office of the Governor provided this information today:

How does Medicaid expansion differ from Healthy PA?

Medicaid expansion will allow for eligible adults to be placed into one streamlined adult package. This will increase continuity of care and reduce unnecessary processes to make individuals eligible for uncomplicated health care coverage faster.

What does this mean for individuals who are in the Private Coverage Option?

The department is currently working on a plan to transition individuals into one streamlined adult package without interruption to their coverage and services.

What will happen to the Healthy and Healthy Plus benefit packages?

The department is currently working with the federal government to develop one benefit package for adults. Once that has been finalized, adults in Healthy and Healthy Plus will be transitioned to the new adult package.

What kind of coverage will be provided?

Medicaid coverage meets national standards for coverage. This includes primary care doctors, preventative care, prescriptions and behavioral health parity.

Who will pay for the expansion?

Federal funds will cover 100 percent of the cost of Medicaid expansion for 2014 to 2016, 95 percent in 2017, 94 percent in 2018, 93 percent in 2019 and 90 percent in 2020 and subsequent years.

What do I need to do if I am already covered under Healthy PA?

If you are already covered, you coverage will remain unaffected at this time and you do not have to do anything at this time. As Pennsylvania transitions to the new comprehensive adult package, the Department of Human Services will notify you of any changes prior to those changes taking effect.   

What do I do if I want to apply for Health Insurance?

If you do not have health care coverage, you can apply online at