We examine two alternative policy proposals to increase health coverage in West Virginia, which in 2014 under the Affordable Care Act (ACA) expanded Medicaid to adults with incomes up to 138 percent of the Federal Poverty Line (FPL). The first proposal is a federal Basic Health Program (BHP) 1331 option that would provide a new affordable health plan option to West Virginians with incomes up to 200 percent of the FPL. The second proposal is an approach using a federal 1332 Innovation Waiver that would allow the state to offer a new affordable health plan option to higher income individuals. Both approaches would provide a new, more affordable health insurance plan option that is similar to existing Medicaid coverage for West Virginians with incomes under 138 percent of the FPL.
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