Health insurers that compete for patients have been forced to abandon plans they had been negotiating with and offer only limited access to coverage in some states, according to a report released Wednesday by the National Association of State Health Officials.
The groups report showed that insurers are increasingly limiting access to plans in states that have expanded Medicaid or Medicaid expansion.
The group said the trend was most pronounced in states with significant Medicaid expansion, where insurers were able to offer limited plans that are less expensive and provide less coverage.
The report also shows that more than 3 million people in 14 states have gained coverage under Medicaid expansion under a federal program known as the expansion, and those states are expected to add nearly 100,000 people by 2020.
More:More:States are poised to add more than 100,00 people to Medicaid coverage by 2020 under the expansion.
The number of people eligible for Medicaid has more than doubled since 2016, when the ACA expanded coverage.
The ACA has led to about 14 million people gaining coverage, but that number is expected to reach more than 30 million by 2020, according a new report from the Commonwealth Fund.
States that expanded Medicaid in 2017 had higher rates of uninsured people, according the report.
The number of uninsured in those states jumped by 1.9 million from last year.