Building our health,
building our economy
Interested in getting involved with Cover SC and closing the Coverage Gap?
Who We Are
Cover South Carolina seeks to increase access to healthcare to improve the productivity of the workforce.
By covering working South Carolinians are in the coverage gap, South Carolina would experience substantial economic and job growth across all 46 counties in our state – urban and rural, from the Upstate to the Lowcountry.
Latest News
We are so thankful for the over 200+ calls that were made to State Senators this past month! Your calls helped reach Senators from over 35 of the state’s 46 counties. Thank you for helping highlight the need for our state to seek healthcare solutions that help thousands of working South Carolinians who are stuck in a healthcare gap. Your voice is matters, and your messages were an essential first step forward in this campaign!
What is the Coverage Gap?
A large number of South Carolinians exceed the income limit to be eligible for Medicaid, but also don’t make enough to afford care from the health insurance marketplace, leaving them with no healthcare options in between. This is called the Coverage Gap.
In 1965 the US passed Medicare insurance for seniors and Medicaid insurance for low income people of any age. In Medicaid, states have the flexibility to set eligibility for different groups. Most states set relatively high income eligibility for children and pregnant women. However, because there was no overall national standard for Medicaid eligibility and employers were increasingly dropping insurance for their workforce, growing numbers of working age adults became uninsured.
To solve that problem, in 2010 the US passed the Affordable Care Act which mandated coverage for all low income working age (19 – 64) adults under the same income eligibility at 138% of poverty. However, a Supreme Court decision allows this expanded coverage to be at State discretion. To date, 40 states have extended coverage under the Affordable Care Act – SC is one of only 10 states that have not, leaving a large health insurance coverage gap for thousands of people. Learn More
The number of uninsured working age adults in South Carolina will soar in 2026.
Legislation that provided good exchange insurance coverage at minimal or no premium for anyone with incomes between 100% and 150% of poverty expired in January 2026. Premiums have risen sharply with many low income workers unable to afford them. It is projected that 183,000 South Carolinians will become uninsured after losing exchange coverage, many of whom fall into the coverage gap.
Florida, Georgia, Kansas, Mississippi, Wisconsin, Texas, Tennessee, Alabama and Wyoming are among the states that have not expanded medicaid.
South Carolinians would receive affordable healthcare
if the coverage gap were closed today
Uncovered & Unseen
“I’m not asking for money… all I want is Medicaid so I can get myself together.”
Learn more about closing the Coverage Gap and how it boost health outcomes and strengthen the economy in South Carolina.
Join as an organization supporter or an individual supporter to stay in the know with the Coalition’s activities.
Learn what Medicaid recipients and individuals in the coverage gap have to say about their health care challenges.