Who We Are

Cover South Carolina seeks to increase access to healthcare to improve the productivity of the workforce.

With expanded Medicaid coverage, 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.

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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

Florida, Georgia, Kansas, Mississippi, Wisconsin, Texas, Tennessee, Alabama and Wyoming are among the states that have not expanded medicaid.

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Learn more about closing the Coverage Gap and how it boost health outcomes and strengthen the economy in South Carolina.

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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.

Current News

US House Proposes Medicaid Cuts: The House and Senate are negotiating a budget resolution that could require large cuts to the Medicaid program. Medicaid, also known as Healthy Connections in South Carolina, is a vital program that provides coverage for over a million South Carolinians, including women, children, seniors, and people with disabilities. The proposed cuts could result in large reductions in Federal funding to South Carolina, loss of insurance coverage for many and  economically hurt our hospitals, nursing homes, and other healthcare providers – particularly those in rural communities. Learn More

Please contact your state leaders and Congressional members today about the harm that these cuts would bring to South Carolinians.