The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021 as a signature effort to assist in the recovery from the COVID-19 pandemic and the related economic downturn. Included as part of the sweeping legislation is a program to fully subsidize COBRA coverage for six months starting in April of 2021. This expert perspective provides a short overview of COBRA and mini-COBRA, the major elements of the ARPA COBRA Assistance program, and considerations for state policymakers related to the program.
Impacts of the Affordable Care Act on Health Insurance Coverage in Oregon
Oregon Health and Science University, Oregon Health Authority, and the State Health Access Data Assistance Center
Between October 2013 and April 2014 access to health insurance in Oregon expanded in two ways, leading to unprecedented changes in insurance coverage in the state. First, the state extended Medicaid coverage to many previously ineligible low-income adults. Second, the state created a health insurance marketplace that provided a resource where individuals could learn what they are eligible for, explore financial assistance options available to them, and compare commercial plans. In this report, researchers from the Oregon Health & Science University (OHSU) and the Oregon Health Authority (OHA), in consultation with the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota, analyzed the impact of these policies on health insurance coverage with a key objective of estimating the number of uninsured individuals in Oregon after the policy changes. For questions/comments about the report, please contact Peter Graven at OHSU.