While uninsured rates decreased across all income groups from 2013 to 2016, they declined most sharply for poor and near-poor people, dropping by 9.7 percentage points and 11.4 percentage points, respectively (Figure 3). 2 Overall, nearly 20 million more people had coverage in 2016 than before the ACA was passed.įigure 2: Number of Uninsured and Uninsured Rate Among the Nonelderly Population, 2008-2017Ĭoverage gains through 2016 were largest among low-income people, people of color, and adults-groups that had high uninsured rates prior to 2014-and were particularly large in states that expanded Medicaid. When the major ACA coverage provisions went into effect in 2014, the number of uninsured and uninsured rate dropped dramatically and continued to fall through 2016 to 26.7 million (10.0%). As early provisions of the ACA went into effect in 2010, and as the economy improved, the number of uninsured and uninsured rate began to drop, hitting 44.4 million (16.8%) in 2013. The number of uninsured people and the share of the nonelderly population that was uninsured rose from 44.2 million (17.1%) to 46.5 million (17.8%) between 20 as the country faced an economic recession (Figure 2). Under the ACA, the uninsured rate and number of uninsured people declined to a historic low by 2016. However, for the first time since the implementation of the ACA, the number of people remaining without coverage increased by half a million in 2017, reaching 27.4 million. Coverage gains were particularly large among low-income people living in states that expanded Medicaid. 1 Under the ACA, millions of people have gained health coverage, and the uninsured rate dropped to a historic low in 2016. By 2013, the year before the major coverage provisions of the ACA went into effect, more than 44 million people lacked coverage. ![]() ![]() Before the ACA, the number of uninsured Americans grew over time, particularly during economic downturns.
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