In June, the Supreme Court upheld Obamacare. That was good news for the almost 6 million people who would have lost their health care insurance if the ruling had gone the other way.
The ruling also meant that Obamacare is likely to remain intact. And with Obamacare in place, more and more states are likely to expand their Medicaid programs to cover people with low incomes, not just families or people with disabilities. This means that the majority of extremely low income and homeless persons can keep their access to health care in places that have expanded Medicaid. To date 30 states have expanded their Medicaid coverage. And other states may join the list.
As communities are becoming more advanced in their efforts to end chronic homelessness they are taking steps to secure funding in systemic ways and from a variety of sources, including Medicaid.
Chronically homeless people make up just a small part of the overall homeless population (15 percent on a given night), but they are the hardest to help. All chronically homeless people struggle with serious physical or mental disabilities, including mental illnesses like schizophrenia and alcohol or drug addiction, that make obtaining and maintaining housing on their own extremely difficult.
This fact sheet highlights key information for beginning conversations with community leaders and partners about health care benefits enrollment, including where to go for more specific information. Under the Affordable Care Act 2010, new state programs and processes could affect how vulnerable homeless people receive medical services, behavioral health treatment and long-term supports; and how these services are funded in communities. In many topic areas, definitive answers to questions that may arise are not yet available, or may vary from state to state. The Alliance will continue to update this resource as new information becomes available.
This policy brief discusses how Medicaid health homes can help improve the behavioral and physical outcomes for vulnerable people experiencing homelessness and lead to positive housing outcomes.The brief explains the Medicaid health home benefit under the Affordable Care Act, and reviews models that have already been approved by the U.S. Department of Health and Human Services.
This is an issue brief presenting the ways state mental health agencies can work cooperatively with community members and lawmakers to prevent and end homelessness for those afflicted with severe mental illness. Key strategies are examined in this brief, as well as case studies of states that have successfully implemented some of these strategies.