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Apr 12 2024 KFF Health News

Nearly a quarter of adults disenrolled from Medicaid in the past year say they are now uninsured, according to a survey released Friday that details how tens of millions of Americans struggled to retain coverage in the government insurance program for low-income people after pandemic-era protections began expiring last spring.

The first national survey of adults whose Medicaid eligibility was reviewed during the unwinding found nearly half of people who lost their government coverage signed back up weeks or months later — suggesting they should never have been dropped in the first place.

While 23% reported being uninsured, an additional 28% found other coverage — through an employer, Medicare, the Affordable Care Act's insurance marketplace, or health care for members of the military, the survey by KFF found.

"Twenty-three percent is a striking number especially when you think about the number of people who lost Medicaid coverage," said Chima Ndumele, an associate professor of health policy at the Yale University School of Public Health.

Going without insurance even for a short period of time can lead people to delay seeking care and leave them at financial risk when they do.

Seven in 10 adults who were disenrolled during the unwinding process say they became uninsured at least temporarily when they lost their Medicaid coverage.

Adrienne Hamar, 49, of Plymouth Meeting, Pennsylvania, said she struggled to enroll in an Affordable Care Act marketplace plan this winter after the state informed her that she and her two children no longer qualified for Medicaid. They had been enrolled since 2020. She said phone lines were busy at the state's marketplace and she couldn't complete the process online.

Hamar, who works as a home health aide, and her children were uninsured in March. But since April 1, they've been enrolled in a marketplace plan that, with the help of government subsidies, costs $50 a month for the family.

"I was very relieved," she said. Unsure of their insurance status, Hamar said, her 23-year-old daughter delayed getting a dental checkup.

Hamar's struggles were common, the survey found.

Of adults enrolled in Medicaid before the unwinding, about 35% who tried to renew their coverage described the process as difficult, and about 48% said it was at least somewhat stressful.

About 56% of those disenrolled say they skipped or delayed care or prescriptions while attempting to renew their Medicaid coverage.

"People's current insurance status is likely to be very much in flux, and we would expect at least some of the people who say they are currently uninsured to reenroll in Medicaid — many say they are still trying — or enroll in other coverage within a short period of time," said Jennifer Tolbert, a co-author of the KFF report and the director of KFF's State Health Reform and Data Program. Related StoriesBiden is right about $35 insulin cap but exaggerates prior costs for Medicare enrolleesPrenatal cannabis use disorder linked to increased risk of neurodevelopmental disorders in offspringLurie Children's Hospital administers first gene therapy for Duchenne muscular dystrophy in Illinois

The survey didn't include children, and the KFF researchers said their findings therefore couldn't be extrapolated to determine how the Medicaid unwinding has affected the overall U.S. uninsured rate, which hit a record low of 7.7% in early 2023. Nearly half of enrollees in Medicaid and the related Children's Health Insurance Program are children.

The unwinding, in which states are reassessing eligibility for Medicaid among millions of Americans who enrolled before or during the pandemic and dropping those who no longer qualify or did not complete the renewal process, won't be completed until later this year. Enrollment in Medicaid and CHIP grew to a record of nearly 94.5 million in April of last year, three years after the federal government prohibited states from cutting people from their rolls during the covid-19 public health emergency.

Nationally, states have disenrolled about 20 million people from Medicaid in the past year, most of them for procedural reasons such as failure to submit required paperwork. That number is expected to grow, as states have a few more months to redetermine enrollees' eligibility.

Among adults who had Medicaid prior to the start of the unwinding, 83% retained their coverage or reenrolled, while 8% found other insurance and 8% were uninsured. The share left uninsured was larger in states that have not expanded Medicaid under the ACA (17%) than in states that have (6%). Forty states have expanded Medicaid to cover everyone with an income under 138% of the federal poverty rate, or $31,200 for a family of four this year.

The KFF survey found that nearly 1 in 3 disenrolled adults discovered only when they sought health care — such as going to a doctor or a pharmacy — that they had been dropped from Medicaid.

Indira Navas of Miami found out that her 6-year-old son, Andres, had been disenrolled from Florida's Medicaid program when she took him to a doctor appointment in March. She had scheduled Andres' appointment months in advance and is frustrated that he remains uninsured and his therapy for anxiety and hyperactivity has been disrupted.

Navas said the state could not explain why her 12-year-old daughter, Camila, remained covered by Medicaid even though the children live in the same household with their parents.

"It doesn't make sense that they would cover one of my children and not the other," she said.

Kate McEvoy, executive director of the National Association of Medicaid Directors, said the sheer volume of millions of people being redetermined for eligibility has overwhelmed some state call centers trying to support enrollees.

She said states have tried many ways to communicate with enrollees, including through public outreach campaigns, text, email, and apps. "Until the moment your coverage is at stake, it's hard to penetrate people's busy lives," she said.

The KFF survey, of 1,227 adults who had Medicaid coverage in early 2023 prior to the start of the unwinding on April 1, 2023, was conducted between Feb. 15, 2024, and March 11, 2024. The margin of sampling error was plus or minus 4 percentage points.

KFF Health News correspondent Daniel Chang contributed to this article.

This article was reprinted from khn.org, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF – the independent source for health policy research, polling, and journalism. Source:

KFF Health News

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Comedian and actor Russell Brand bailed after appearing in court charged with rape and sexual assault

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Comedian and actor Russell Brand bailed after appearing in court charged with rape and sexual assault

Russell Brand has been granted bail after appearing in court charged with sexual offences including rape.

During the brief hearing at Westminster Magistrates’ Court, the 49-year-old spoke only to confirm his name, date of birth, and address, also confirming to the judge that he understood his bail conditions.

Pic: Reuters
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Russell Brand outside Westminster Magistrates’ Court. Pic: Reuters

Brand, who has been living in the US, was charged by post last month with one count each of rape, indecent assault and oral rape – as well as two counts of sexual assault – in connection with incidents involving four separate women between 1999 and 2005.

The allegations were first made in a joint investigation by The Sunday Times, The Times and Channel 4 Dispatches in September 2023.

Rusell Brand
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The comedian and actor did not say anything as he entered the court

The comedian, actor and author has denied the accusations and said he has “never engaged in non-consensual activity”.

Appearing before Senior District Judge Paul Goldspring, Brand stood to confirm his name and address. He then sat down while the charges were read to the court.

Russell Brand surrounded by media as he arrives at Westminster Magistrates' Court.
Pic: Reuters
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Brand surrounded by media. Pic: Reuters

Brand is charged with the rape of a woman in 1999 in the Bournemouth area. She alleges that after meeting Brand at a theatrical performance and chatting to him later in her hotel room, she returned from the toilet to find he’d removed some of his clothes. She claims he asked her to take photos of him, and then raped her.

The court also heard of another of Brand’s alleged victims, who has accused him of indecently assaulting her in 2001 by “grabbing her arm and dragging her towards a male toilet” at a TV station.

Brand is accused of the oral rape and sexual assault of a woman he met in 2004 in London. He is accused of grabbing her breasts before allegedly pulling her into a toilet.

The final complainant is a radio worker who has accused Brand of sexually assaulting her between 2004 and 2005 by “kissing” and “grabbing” her breasts and buttocks.

Russell Brand leaves court.
Pic: Reuters
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Brand leaves court. Pic: Reuters

The judge referred the case up to the Crown Court – informally known as the Old Bailey.

Brand was asked to supply both his US and UK addresses to the court.

When asked if he understood his bail conditions, he replied, “Yes”.

The case was adjourned and Brand, of Hambleden, Buckinghamshire, was told he must appear at the Old Bailey on 30 May.

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Daughter of Sir David Amess praises ‘swift action’ of counter-terror police’s Kneecap investigation

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Daughter of Sir David Amess praises 'swift action' of counter-terror police's Kneecap investigation

The daughter of murdered MP Sir David Amess has praised “swift action taken by law enforcement” after counter-terror police confirmed they are investigating claims the band Kneecap called for people to kill their MPs.

The Metropolitan Police revealed on Thursday that its Counter Terrorism Internet Referral Unit has found “there are grounds for further investigation into potential offences” in connection to two videos of the rap group.

The first, believed to be from a Kneecap gig at London’s Kentish Town Forum in November 2024, allegedly shows one member of the band shouting: “Up Hamas, up Hezbollah”.

The second, thought to be from a separate concert in November 2023, reportedly sees another say: “The only good Tory is a dead Tory. Kill your local MP.”

Sir David, Conservative MP for Southend-on-Sea, was murdered by Ali Harbi Ali at his constituency surgery in Leigh-on-Sea in October 2021.

It was the second murder of a British MP in less than 10 years, following the murder of Labour’s Jo Cox by Thomas Mair in 2016.

David Amess
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Sir David Amess. Pic: PA

Jo Cox shooting
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Jo Cox. Pic: PA

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Why are Kneecap controversial?
Murdered MP’s daughter ‘happy to meet’ rappers

More on Sir David Amess

Previously the Met said it was assessing whether the two clips of the Irish language trio met the threshold for an investigation.

Katie Amess said in response to their decision on Thursday to pursue an investigation: “Kneecap’s rhetoric is not only abhorrent but poses a direct threat to the safety and well-being of elected officials and the democratic institutions they represent.

“The glorification and incitement of violence have no place in our society and must be unequivocally condemned.

“I commend the swift action taken by law enforcement agencies in addressing this and urge a thorough investigation to determine the full extent of any criminal activity.”

She added that musicians “must be held accountable” for rhetoric that “incites violence and hatred” and that cultural venues should “not be exploited to propagate messages of hate”.

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Kneecap comments ‘dangerous and heartbreaking’

In a statement posted on Instagram, the group – made up of Liam Og O Hannaidh, Naoise O Caireallain and JJ O Dochartaigh – addressed the families of murdered MPs Sir David Amess and Jo Cox, saying: “We never intended to cause you hurt.”

But Ms Amess accused them of “gaslighting”, saying their comments were “absurd” and “not an apology”.

Sir David and Katie Amess
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Katie Amess with her MP father Sir David Amess

Dozens of artists come out in support

Since the controversy emerged amid a backlash over their performance at US festival Coachella, in which they displayed the message “Free Israel. Free Palestine”, more than 40 artists have come out to support them.

Paul Weller, Primal Scream and DJ Annie Mac are among the music stars to have signed an open letter claiming there has been a “clear, concerted attempt to censor and ultimately de-platform” the band.

Kneecap had their concert at the Eden Project in Cornwall cancelled on Wednesday.

In its statement on Thursday, the Met Police confirmed: “Both videos were referred to the Counter Terrorism Internet Referral Unit for assessment by specialist officers, who have determined there are grounds for further investigation into potential offences linked to both videos.

“The investigation is now being carried out by officers from the Met’s Counter Terrorism Command and inquiries remain ongoing at this time.”

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Kneecap row: Paul Weller and Primal Scream lead musicians in signing open letter in support of rap trio

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Kneecap row: Paul Weller and Primal Scream lead musicians in signing open letter in support of rap trio

Paul Weller, Primal Scream and DJ Annie Mac are among the music stars who have signed a letter in support of rap group Kneecap.

The politically-charged Belfast trio, who are no strangers to controversy, have faced criticism in recent weeks following a performance at US festival Coachella in which they displayed the message “F*** Israel. Free Palestine”.

Then came the emergence of footage, taken from a gig at London’s Kentish Town Forum last November, which appeared to show one member of the group shouting “up Hamas, up Hezbollah”.

Video also emerged from a November 2023 gig, appearing to show one member of the group saying: “The only good Tory is a dead Tory. Kill your local MP.”

Conservative leader Kemi Badenoch called for Kneecap to face prosecution over the two videos, while Glastonbury Festival is now facing pressure to drop them from this year’s line-up.

A handful of the group’s gigs have been cancelled, including one that was set to take place at Cornwall’s Eden Project.

In an open letter, the group’s record label, Heavenly Recordings, said there had been a “clear, concerted attempt to censor and ultimately deplatform” the group.

More than 40 music acts have now signed the letter.

Paul Weller poses for photographers upon arrival at the premiere for the film 'Blitz' and the opening gala of the London Film Festival on Wednesday, Oct. 9, 2024, in London. (Photo by Scott A Garfitt/Invision/AP)
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Former The Jam frontman Paul Weller is one of the artists to have given Kneecap their backing. Pic: AP

It reads: “As artists, we feel the need to register our opposition to any political repression of artistic freedom.

“In a democracy, no political figures or political parties should have the right to dictate who does and does not play at music festivals or gigs that will be enjoyed by thousands of people.”

It also accuses politicians of “strategically concocting moral outrage over the stage utterings of a young punk band” while ignoring a “genocide” in Gaza.

“Kneecap are not the story. Gaza is the story. Genocide is the story,” it says. “And the silence, acquiescence and support of those crimes against humanity by the elected British Government is the real story.

“Solidarity with all artists with the moral courage to speak out against Israeli war crimes, and the ongoing persecution and slaughter of the Palestinian people.”

Read more:
Why are Kneecap controversial?

The full list of signatories

Annie Mac, Beoga, Bicep, Biig Piig, Blindboy Boatclub, Bob Vylan, Christy Moore, Damien Dempsey, Delivery, Dexys, English Teacher, Enter Shikari, Fontaines D.C., Gemma Dunleavy, Gurriers, Idles, Iona Zajac, Jelani Blackman and John Francis Flynn.

Joshua Idehen, Katy J Pearson, Kojaque, Lankum, Lisa O’Neill, Lowkey, Massive Attack, Martyn Ware, Paul Weller, Peter Perrett, Poor Creature, Primal Scream and Pulp.

Roisin El Cherif, Shirley Manson, Sleaford Mods, Soft Play, The Mary Wallopers, The Pogues, Thin Lizzy and Toddla T.

Instagram accounts belonging to other acts, including Mercury Prize nominees Yard Act, have commented on post featuring the statement, asking to be added.

Elsewhere, trip hop collective Massive Attack put out their own statement supporting Kneecap.

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Kneecap comments ‘dangerous and heartbreaking’

It comes as the Metropolitan Police is assessing the “kill MPs” video clip, along with the 2024 video in which a band member appeared to say “up Hamas, up Hezbollah”.

In a statement posted on Instagram, the group – made up of Liam Og O Hannaidh, Naoise O Caireallain and JJ O Dochartaigh – addressed the families of murdered MPs Sir David Amess and Jo Cox, saying: “We never intended to cause you hurt.”

Read more:
Kneecap remarks ‘dangerous’ says Sir David Amess’s daughter

Kneecap said they “reject any suggestion that we would seek to incite violence against any MP or individual”.

“Kneecap’s message has always been – and remains – one of love, inclusion, and hope,” the post added.

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