Uninsured
Who are The uninsured?
Key Facts on Health and Health Care by Race and Ethnicity
Overall, Black, Hispanic, and AIAN people fared worse compared to White people across most examined measures of health coverage and access to and use of care. Despite small gains in health coverage between 2019 and 2021, nonelderly AIAN, Hispanic, NHOPI, and Black people remained more likely to be uninsured compared to their White counterparts.Key Facts About The Uninsured
In 2021, 27.5 million nonelderly individuals were uninsured, a drop of nearly 1.5 million from 2019. We describe recent trends in health coverage, examine the characteristics of the uninsured, and summarize the access and financial implications of not having coverage.How Many Uninsured People Are in the ACA Coverage Gap?
In the 10 states that have not adopted Medicaid Expansion, 1.9 million uninsured people are in the coverage gap. Their below-poverty-level incomes are too high to be eligible for Medicaid but too low to qualify for ACA Marketplace subsidies. We also look at how many people would be eligible if all states expanded Medicaid.
Data & Policy
medicaid and the uninsured
How Many Could Lose Medicaid When States Unwind Continuous Enrollment?
Starting April 1, 2023, some states resumed disenrolling people from Medicaid after a three-year period during which states provided continuous enrollment in exchange for enhanced federal funding. Between February 2020 and March 2023, Medicaid enrollment grew by an estimated 20 million people, contributing to declines in the uninsured rate, which dropped to the lowest level on record in early 2022.
As states unwind the continuous enrollment provision, we estimate that 17 million people could lose Medicaid coverage – including some who are no longer eligible and others who are still eligible but face administrative barriers to renewal.
Related Content:
• What Happens After People Lose Medicaid Coverage?
• State Policy Choices Are Likely to Affect the Extent of Medicaid Enrollment Declines During the Unwinding Period.
As states unwind the continuous enrollment provision, we estimate that 17 million people could lose Medicaid coverage – including some who are no longer eligible and others who are still eligible but face administrative barriers to renewal.
Related Content:
• What Happens After People Lose Medicaid Coverage?
• State Policy Choices Are Likely to Affect the Extent of Medicaid Enrollment Declines During the Unwinding Period.
The uninsured: How costs affect care and health, 2021
Latest Polling10%
Percent of adults who reported not having health insurance
27%
Percent of uninsured adults who reported delaying or not getting care due to health costs
75%
Percent of uninsured adults who worry about medical bills if they get sick or have an accident
36%
Percent of uninsured adults who reported not having a usual place of care (vs. 7% of insured adults)
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