New census data shows that the Affordable Care Act (ACA) has significantly reduced uninsured rates across the U.S. from 2013 to 2023, with Medicaid expansion playing a key role. The data highlights major declines in uninsured rates for working-age adults and children, while coverage for older adults remains stable due to Medicare. Despite this progress, the growth of private insurance coverage has slowed since 2019. Click here for article.
Uninsured Rate Decline (2013-2019): Nationwide, the uninsured rate for working-age adults dropped by 7.6 percentage points, especially in Medicaid expansion states.
Medicaid Expansion Impact: Of the states with the largest decreases in uninsured rates, all had expanded Medicaid, showing its significant role in coverage growth.
Private Insurance Gains: Between 2013 and 2019, 44 states and D.C. saw increases in private insurance coverage, with Florida leading the way.
Coverage for Seniors: Despite slight fluctuations, Medicare kept uninsured rates for adults aged 65 and older consistently low, with public coverage as the dominant form.
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