Urban Institute | Taking Stock: Health Insurance Coverage under the ACA as of September 2014

  • The number of uninsured nonelderly adults fell by an estimated 10.6 million between September 2013 and September 2014 as the uninsurance rate fell from 17.7 percent to 12.4 percent—a drop of 30.1 percent.
  • Most of the gain in coverage was among the low- and middle-income adults targeted by the ACA’s Medicaid and Marketplace provisions.
  • The uninsurance rate dropped 36.3 percent in states that implemented the ACA’s Medicaid expansion, compared with 23.9 percent in nonexpansion states; 54.7 percent of uninsured nonelderly adults lived in nonexpansion states in September 2014.
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