UPDATE: Everything below refers to HR 369, but the American Rescue Plan, HR 1319, contains a virtually identical expansion of ACA subsidies...if only for two years.

Note that under HR 1319 (AmRescuePlan), the first year would be retroactive, meaning that current ACA enrollees should receive additional subsidies dating back to January 2021, though I don't know what form that will take...rebate checks, credit towards future premiums or an extra tax refund next spring.

Over the past couple of years, one of the things I've become known for is my obsessive fixation on visually displaying how much various households would save on healthcare premiums if various ACA subsidy-boosting bills were passed compared with the current ACA subsidy structure.

Add Health Source RI to the list:

HealthSource RI Joins President Biden and Announces New Health Coverage Enrollment Period

EAST PROVIDENCE, Rhode Island (February 1, 2021) — Following President Biden’s announcement on Thursday January 28, HealthSource RI has established a new enrollment period to give Rhode Islanders additional time to sign up for health coverage. Uninsured Rhode Islanders can enroll for coverage effective as early as March 1. HealthSource RI’s enrollment period will continue through May 15, 2021.

This enrollment period is open to all eligible uninsured Rhode Islanders, with no requirement to have a qualifying life event to enroll in health coverage.  Coverage starts the first of the month following a complete enrollment.

The data below comes from the GitHub data repositories of Johns Hopkins University, except for Utah, which comes from the GitHub data of the New York Times due to JHU not breaking the state out by county but by "region" for some reason.

I've made some more changes:

  • Every county except those in Alaska lists the 2020 Biden/Trump partisan lean; Alaska still uses the 2016 Clinton/Trump results. I define a "Swing District" as one where the difference between Biden & Trump was less than 6.0%. FWIW, there's just 188 swing districts (out of over 3,100 total), with around 33.8 million Americans out of 332 million total, or roughly 10.2% of the U.S. population.
  • For the U.S. territories, Puerto Rico only includes the case breakout, not deaths, which are unavailable by county equivalent for some reason.

With these updates in mind, here's the top 100 counties ranked by per capita COVID-19 cases as of Saturday, January 30th, 2021 (click image for high-res version).

Blue = Joe Biden won by more than 6 points; Orange = Donald Trump won by more than 6 points; Yellow = Swing District

A picture is worth 1,000 words and all that.

I've done my best to label every state/territory, which obviously isn't easy to do for most of them given how tangled it gets in the middle. For cases per capita, the most obvious point is that New York and New Jersey, which towered over every other state last spring, are now utterly dwarfed by North & South Dakota, although things are getting pretty horrible everywhere now.

North Dakota has reached 12.8% of the entire population having tested positive, or over 1 out of every 8 residents.

South Dakota is up to 12.2%, or more than 1 out of every 9 residents.

Rhode Island, Utah, Tennessee, Arizona and Iowa are up to 1 out of every 10 residents having tested positive.

40 states have seen at least 1 out of every 15 residents test positive.

EVERY state except New Hampshire, Washington, Oregon, Maine, Hawaii & Vermont (along with 4 U.S. territories) have now surpassed 1 out of every 20 residents having tested positive.

via the Nevada Health Link...

Today, the Biden‐Harris Administration announced a Special Enrollment Period, allowing Americans to enroll and purchase on‐Exchange health insurance plans from their respective on‐Exchange marketplaces. On behalf of the Silver State Health Insurance Exchange and Nevadans statewide, we are pleased to see positive change taking place at the federal level and to witness the fast‐moving actions to protect the Affordable Care Act (ACA), upon which so many Americans rely for quality, affordable and comprehensive health insurance coverage.

This news comes on the heels of our announcement that nearly 82,000 Nevadans enrolled on Nevada Health Link for coverage in 2021. That’s nearly a six percent increase from last year’s enrollment total.

Today’s news from the White House speaks volumes about how the new Administration will continue to support the ACA and help to bolster the health insurance marketplace, protecting hundreds of millions of Americans.

...Annnnd add Get Covered NJ to the list:

Governor Murphy Announces Extension of Affordable Care Act Enrollment Period for Uninsured In New Jersey In Response to COVID-19 Pandemic

  • New Jersey Joins Biden Administration in Effort to Assist Residents Through Special Enrollment Period

TRENTON – Following the Biden Administration’s health care action today, Governor Phil Murphy announced the State is extending the health insurance enrollment period for uninsured residents to sign up for coverage through Get Covered New Jersey, the state’s official health insurance marketplace, in response to the coronavirus pandemic.

via MNsure:

Statement of Nate Clark, Chief Executive Officer (CEO), MNsure

Re: New executive orders signed by President Biden today that support state-run ACA insurance exchanges like MNsure

ST. PAUL, Minn.—"MNsure welcomes this news and the Biden Administration’s efforts to strengthen the Affordable Care Act to increase access to quality, comprehensive health coverage. As the nation continues to fight the deadliest pandemic in a century, the changes President Biden is making will benefit Minnesotans who need the peace of mind that comes with knowing you have health care coverage.

"President Biden’s executive order directs federal agencies to look at ways to protect and strengthen access to health insurance and increase protections for those who have preexisting conditions, including complications related to COVID-19.

via the Washington Health Benefit Exchange:

Washington Health Benefit Exchange (Exchange) announced today it will open a special enrollment period that parallels the new federal enrollment period which runs from Feb. 15 through May 15, 2021.

“Having health insurance is critically important in these challenging times of COVID,” said Chief Executive Officer Pam MacEwan. “Opening a corresponding special enrollment period in our state gives more uninsured Washingtonians the chance to get needed coverage for 2021.”

The special enrollment period will apply to anyone seeking health insurance coverage. Individuals shopping for coverage during this special enrollment period that select coverage by the 15th of the month will begin receiving coverage the first of the following month.

This was probably inevitable: via Connect for Health Colorado (email):

Colorado to Re-Open Enrollment for Individual Health Insurance 

DENVER – Today, President Joe Biden issued an Executive Order that re-opens enrollment on the Affordable Care Act marketplaces. While the order pertains to states that use the federal exchange, HC.gov, Colorado’s exchange, Connect for Health Colorado will mirror the order by re-opening enrollment.

Coloradans without health insurance will be able to enroll in coverage through C4HCO.com between Feb. 8 - May 15, 2021. Health insurance coverage will begin on the first day of the month following plan selection. This Special Enrollment period is for people who are without health insurance and begins a week earlier than the federal exchange.

The wording of this is important: This SEP is for uninsured residents specifically; presumably it is not open to those who are simply looking to switch from one ACA policy to another. My guess is there will be a checkbox or whatever for enrollees to attest that they do not currently have health insurance coverage.

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