Articles & Reports

Choices: Volume 33, No. 1, 2018
Case Study Reports
UVM Summit on Health, Agriculture and Rural Development

UVM Workshop

UVM Summit

Farmers and Health Care Reform: A Challenge and Opportunity for Extension
Journal of Extension


The Affordable Care Act (ACA) presents both opportunities and challenges for farmers. There is a great deal of variation in how states are implementing the ACA, which creates confusion for individuals and businesses trying to understand and evaluate health insurance options. To assist farmers and farm workers with navigating ACA reforms, Extension can work across program areas and leverage their network of farm technical assistance providers and non-profits to enhance outreach and program efforts. Extension tax schools and wider adoption of the Smart Choice Health Insurance - Farm Families can expand the portfolio of tools available for working with farmers.


Keywords: Affordable Care Act (ACA), farmer, agriculture, health

Opportunities for Extension: Linking Health Insurance and Farm Viability
Journal of Extension



Extension has a crucial role to play in educating Americans about their new choices under the Patient Protection and Affordable Care Act (ACA). Health insurance is a cross-cutting issue that touches on multiple Extension program areas. This article draws on national survey research and interviews with farmers at the rural-urban-interface conducted prior to the ACA to consider the potential influence of the ACA on the food and agriculture sector and the role of both Agriculture and Consumer and Family Science Extension programing in assisting farmers with ACA reforms.


Keywords: health insurance, agriculture, economic viability, ACA, education

Responding to Health Care Reform: Mobilizing Extension
Journal of Extension



The 2010 Affordable Care Act provides an opportunity for Extension. Research shows that most Americans do not understand the law's provisions and are not comfortable making health insurance purchase decisions. By January 2014, nearly 30 million Americans will be making enrollment decisions; an estimated 180 million will be reenrolling in health plans. We have a teachable moment to both educate and measure the impact of that education. At issue is the question of the extent to which we in Extension are willing and able to mobilize to address the opportunity.


Keywords:  Health reform, Affordable Care Act, health insurance literacy, public policy education


Shoshanah Inwood

Ohio State University 

Assistant Professor

School of Environment and Natural Resources 




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