An estimated 1.5 million Ohioans do not have health insurance, most of them from working families, and some of them very poor. Medicaid plays a critical role in protecting the health of low-income Ohioans, but it leaves out many people. Like many states, Ohio does not extend Medicaid coverage to adults unless they have children or are disabled.

The Supreme Court made it optional – and Governor Kasich has proposed in his Jobs Budget 2.0 – to extend Medicaid coverage to adults making $15,415 or less per year (138 percent of poverty). The federal government will pay 100 percent of this cost for three years, decreasing to 90 percent in 2020 and beyond. If the federal government changes this agreement then Ohio will automatically reverse this decision.

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