The Uninsured Population & Health Coverage

Health Policy 101

Health Insurance Coverage of the Total Population, 2023

Military (1.3%)

Employer (48.6%)

Medicaid (21.2%)

Medicare (14.7%)

Uninsured (7.9%)

Non-Group (6.2%)

In US ~____% of population uninsured

8%

In 2023, there were _____ million uninsured residents ages 0-64, and the uninsured rate among the population ages 0-64 was _____ (the lowest rate in U.S. History).

25.3 Million

9.5%

______,000 or less than ______% of people over age 65 were uninsured (because of Medicare)

457,000 or less than 1%

Uninsured Rates of People Ages 0-64, 2010-2023

Look at Chart

Affordable Care Act

-Prior to its implementation, gaps in the public insurance system + lack of access to affordable private access left over ______ million people without Health insurance

40

ACA

• expanded Medicaid coverage to nearly all adults with incomes up to 138% of the Federal Poverty Level

• Created new health insurance marketplaces*

Cool

Cool Beans!

Effect of ACA in 2010

• the number of uninsured people dropped to ______ million in 2016

27 million

Which states have not adopted Medicaid Expansion Decision?

Wyoming, Kansas, Texas, Wisconsin, Tennessee, Mississippi, Alabama, Georgia, South Carolina, Florida

CHIP- Children’s health Insurance Program (CHIP)

Established in 1997, provided coverage for children with incomes above Medicaid thresholds.

Impact of COVID on Insurance

• Families First Coronavirus Response Act

• American Rescue Plan Act

• Inflation Reduction Act of 2022

• Required states to keep people continuously enrolled in Medicaid in exchange for enhanced federal funding, ended March 2023

• Provided temporary enhanced ACA Marketplace subsidies to make Marketplace coverage more affordable

• Terms of American Rescue Plan Act renewed for another three years (ends 2025)

Family Work Status of Uninsured People Ages 0-64, 2023

Pie Chart

More than ________ in 10 people ages 0-64 who were uninsured were in families with incomes below 400%

8 in 10

Uninsured Rates among those 0-64, 2023

Nearly _______-third of non-citizen immigrants were uninsured in 2023 while the uninsured rate for U.S. -born citizens was 7.5% and 8.9% for naturalized citizens.

1/3

____ in 4 children has an immigrant parent, including over ____% (1 in 10) who are citizen children with at least one noncitizen parent

one in 4

12%

Figure

Okay. Got it!

Figure

Check it out…

In 2023, _____& of uninsured workers worked for an employer that did not offer them health benefits

64.7%

A decade after ACA implementation, ______ states have not adopted the Medicaid expansion, leaving ______ million uninsured people without an affordable coverage option.

10 states

1.4

Interesting…

Peek a BOO

Adults who are uninsured are almost ___ times more likely than adults with health insurance to report not having a usual source of care

five

Figure

Figuired

Enhanced marketplace subsidies adopted during the pandemic led to record Marketplace signups, with enrollment topping ___ million in 2025

25

2025 Federal Budget Reconciliation package

The Congressional Budget Office estimates an…

increase the number of people without health insurance by 10 million

Congressional Budget Office projects over ___ million more people will be uninsured in 2034

14

The public has a unfavorable/favorable view of the ACA by a # to # margin

2 to 1