The Affordable Care Act "provided over 200,000 West Virginians with health care coverage."
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Ruby Memorial Hospital in Morgantown, W.Va., in 2017. (AP/Michael Virtanen)
Has the Affordable Care Act given 200,000-plus West Virginians health coverage?
During the 2018 midterm elections, many Democrats across the country argued that they would be better positioned than their Republican rivals to protect Americans’ health insurance provided under the Affordable Care Act.
The 2018 election cycle may be over now, but the West Virginia Democratic Party continues to make that argument.
In fact, the issue gained new relevance in March 2019 when the Trump administration said it has decided to seek the law’s full repeal in an ongoing court case. (This is the same lawsuit that West Virginia Attorney General Patrick Morrisey signed on to, as we’ve noted.)
In an April 1 tweet, the state party said that President Donald Trump "is threatening to overturn the entire Affordable Care Act that provided over 200,000 West Virginians with healthcare coverage. Our seniors depend on it for affordable prescriptions and pre-existing condition coverage."
Here, we’ll look at whether the party is correct that "over 200,000 West Virginians with healthcare coverage." (The West Virginia Democratic Party did not respond to an inquiry for this article.)
Featured Fact-check
The Affordable Care Act provides two primary ways to get coverage -- individual policies purchased on online marketplaces and an expansion of Medicaid to a wider group of eligible Americans. We turned to data on both types from the Kaiser Family Foundation.
For 2019, the number of West Virginians purchasing health insurance on the marketplace totaled 22,599.
And for fiscal year 2017, West Virginia added 183,100 residents to its Medicaid rolls due to the Affordable Care Act. (Kaiser communications director Craig Palosky said 2017 figures are the most recent available due to state-by-state reporting lags.)
Combined, that works out to 205,699 West Virginia residents securing coverage from the law, making the Democratic tweet accurate.
Palosky added that other West Virginians benefited from the law without specifically securing insurance under the law. For instance, the law required coverage of pre-existing conditions and provided more generous coverage of prescription drugs under Medicare.
Our ruling
The West Virginia Democratic Party said the Affordable Care Act "provided over 200,000 West Virginians with health care coverage."
The combination of insurance purchases on the marketplace and the increase in Medicaid coverage works out to 205,699, according to the most recent data available. That’s in line with what the tweet said, so we rate it True.
PolitiFact Rating: 
Our Sources
WV Democratic Party, tweet April 1, 2019
Kaiser Family Foundation, Marketplace Enrollment 2014-2019, accessed April 15, 2019
Kaiser Family Foundation, Medicaid Expansion Enrollment, accessed April 15, 2019
Email interview with Craig Palosky, director of communications at the Kaiser Family Foundation, April 9, 2019
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Has the Affordable Care Act given 200,000-plus West Virginians health coverage?
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