If you’re poor, uninsured and fall seriously ill, in moststates if you qualify for Medicaid — but weren’t enrolled at thetime — the program will pay your medical bills going back threemonths. It protects hospitals, too, from having to absorb thecosts of caring for these patients.

But a growing number of states are rescinding this benefit knownas “retroactive eligibility.” On Nov. 1, Iowa joined three states that haveeliminated retroactive coverage for some groups of Medicaidpatients since the Affordable Care Act passed. Each state had to secure approval by the federal government.

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