Pennsylvania

To understand the strategies that states undertake to expand coverage and initiate broader health reform, it is important to recognize the variability in states’ health coverage distribution, employer-sponsored insurance rates, and public program eligibility levels. The charts below highlight certain aspects of Pennsylvania's coverage landscape. The graphs also provide a comparison to national data to give a sense of how Pennsylvania is faring.

For more information on specific coverage programs implemented in this state, please click on the ‘Coverage Strategies’ tab.

Overview of Medicaid and SCHIP Coverage^[1]

Group	Income Eligibility
Children^[2]	185% FPL (ages 0-1) 133% FPL (ages 1-5) 100% FPL (ages 6+) 300% FPL (SCHIP)
Pregnant Women	185% FPL
Parents	31% FPL
Adults^[3](state-only funds)	200% FPL
SSI Disabled	74% FPL

Sources of Health Insurance CoverageState Data 2006 – 2007, U.S.^[4]

Percentage of Private-Sector Establishments That Offer Health Insurance Based on Firm Size by State, 2006^[5]

HRSA Grants Tab:

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Resources Tab:

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Coverage Strategies Tab:

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SCI Grants Tab:

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Footnotes:

^[1^]This overview provides a general description of state coverage levels under their Medicaid and SCHIP programs, including coverage through waivers, as of December 2008. Eligibility information was gathered from state web sites, data from state reports, and verified through contacts with CMS and state officials during the fall of 2008. This does not reflect the specific eligibility categories or requirements. This is not intended to be a substitute for eligibility information provided by each state. Individuals interested in applying for these programs should contact the state directly for specific eligibility requirements.

^[2]Medicaid eligibility based on children’s family income levels is listed by age group. For states with additional SCHIP eligibility for higher income levels, SCHIP income level eligibility information is presented separately.

^[3]AdultBasic, a state-funded program, provides coverage for qualified uninsured adults ages 19-64 with incomes up to 200 percent of the FPL.

^[4]Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau’s March 2007 and 2008 Current Population Survey.

^[5]Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends. 2006 Medical Expenditure Panel Survey-Insurance Component.

The State Coverage Initiatives program has ended as of February 2016.
For more information on AcademyHealth's State Health Policy and Technical Assistance work, visit the AcademyHealth website.