The Looming Health Care Reform “Donut Hole”

Yesterday I looked at the modern versions of "bus therapy" (see Bus Therapy? all members) and the incentive in the U.S. health and human service system to shift people from one jurisdiction to the other. At the conclusion of the article I mentioned what may be unintended consequences of the Patient Protection and Affordable Care Act (PPACA) – a new "donut hole" for low-income Americans in states that did not expand Medicaid as part of health care reform.

This new "donut hole" is the insurance gap for consumers with incomes below 100% of the Federal Poverty Level (FPL) who . . .