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New HHS Data Show More Americans than Ever Have Health Coverage through the Affordable Care Act

31 Million People Currently Enrolled in Marketplace or Medicaid Expansion

Today, the U.S. Department of Health and Human Services (HHS) released a new report that shows 31 million Americans have health coverage through the Affordable Care Act – a record.  The report also shows that there have been reductions in uninsurance rates in every state in the country since the law’s coverage expansions took effect. People served by the health Marketplaces and Medicaid expansion have reached record highs.  

The data shows those individuals currently enrolled in health coverage through the Health Insurance Marketplaces and Medicaid expansion under the ACA, including 11.3 million people enrolled in the ACA Marketplace plans as of February 2021 and 14.8 million newly-eligible people enrolled in Medicaid through the ACA’s expansion of eligibility to adults as of December 2020. 

In addition, there are one million people enrolled in the ACA’s Basic Health Program, and nearly four million previously-eligible adult Medicaid enrollees who gained coverage under expansion due to the ACA’s enhanced outreach, streamlined applications, and increased federal funding under the ACA. Today’s report shows the important role the ACA has played in providing coverage to millions of Americans nationwide.

The report also shows that between 2010 and 2016, the number of nonelderly uninsured adults decreased by 41 percent, falling from 48.2 million to 28.2 million. All 50 states and the District of Columbia have experienced reductions in their uninsured rates since the implementation of the ACA, with states that expanded Medicaid experiencing the largest reduction in their uninsured rate. California, Kentucky, New York, Oregon, Rhode Island, Washington, and West Virginia have reduced their uninsured rate by at least half from 2013 to 2019 through enrollment in Marketplace coverage and expansion of Medicaid to adult populations. To date, 37 states and the District of Columbia have expanded Medicaid to cover adults under the ACA. 

HHS Secretary Xavier Becerra released the following statement on Twitter: “The historic numbers released today speak to the success of the Affordable Care Act and our country’s need for quality, affordable health care. The President’s American Rescue Plan was a leap forward, and we at HHS will continue to advance the fight for health security.”

“Health care coverage is life-changing for our communities and families. Thanks to the Affordable Care Act millions of Americans have been able to enroll in high-quality, affordable coverage through the Marketplaces and Medicaid expansion,” said CMS Administrator Chiquita Brooks-LaSure. “The Biden-Harris Administration is working to strengthen these vital programs that have advanced health equity and improved health outcomes. With the implementation of the American Rescue Plan, which builds on the ACA, health coverage is more affordable and accessible than ever. As we rebuild from the health and economic impacts of the pandemic and work to address the disparities it has illuminated, we’ll protect and build on the ACA to ensure Americans can access the care they need.”

Today’s report demonstrates the important role the ACA has played in helping Americans access and enroll in quality, affordable health coverage, especially during the COVID-19 crisis. With millions of Americans facing uncertainty and challenging circumstances throughout the pandemic, the Biden-Harris Administration opened HealthCare.gov for a Special Enrollment Period (SEP) to help Americans enroll in health insurance coverage. To date, more than 1 million new consumers have signed up for coverage through HealthCare.gov during the SEP since February 15.  As new Marketplace consumers activate their health plan coverage, ACA related enrollment will continue to climb through the end of the SEP in August.

Consumers who need coverage through the Marketplace should visit HealthCare.gov by August 15 to complete an application, review their options, and, if eligible, enroll in coverage. Consumers can find local help at Localhelp.healthcare.gov or by calling the Marketplace Call Center at 1-800-318-2596. TTY users should call 1-855-889-4325. Assistance is available in 150 languages. The call is free.

HealthCare.gov can also direct eligible consumers to Medicaid in their state. Consumers can apply for Medicaid any time during the year.

The SEP is currently available to consumers in the 36 states with Marketplaces that use the HealthCare.gov platform in 2021. Consumers served by State-based Marketplaces that use their own platforms can check their state's website to find out more information on Special Enrollment Periods in their state.

To read the ASPE Issue Brief, visit: https://aspe.hhs.gov/pdf-report/aca-related-coverage-ib 

For more information about the Health Insurance Marketplace®, visit: https://www.healthcare.gov/quick-guide/getting-marketplace-health-insurance/

For more information about the Medicaid program, visit: https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip/

Health Insurance Marketplace® is a registered service mark of the U.S. Department of Health and Human Services. 
 

Health Coverage Expansion under the Affordable Care Act by State

State Marketplace or Medicaid Health Coverage Expansion Estimates
Alabama

159,136 Alabama residents have gained health coverage through the Affordable Care Act.

As of February 2021, 159,136 Alabama residents were enrolled in Marketplace coverage. Alabama's uninsured rate fell from 13.6 percent in 2013 before the ACA to 9.7 percent as of 2019.

However, Alabama has not yet expanded Medicaid under the ACA. HHS estimates that 240,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Alaska

80,319 Alaska residents have gained health coverage through the Affordable Care Act.

As of February 2021, 16,780 Alaska residents were enrolled in Marketplace coverage and according December 2020 data, 63,539 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Alaska's uninsured rate fell from 18.5 percent in 2013 before the ACA to 12.2 percent as of 2019.

Read the full brief.

Arizona

308,233 Arizona residents have gained health coverage through the Affordable Care Act.

As of February 2021, 143,964 Arizona residents were enrolled in Marketplace coverage and according December 2020 data, 164,269 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Arizona's uninsured rate fell from 17.1 percent in 2013 before the ACA to 11.3 percent as of 2019.

Read the full brief.

Arkansas

366,755 Arkansas residents have gained health coverage through the Affordable Care Act.

As of February 2021, 60,258 Arkansas residents were enrolled in Marketplace coverage and according December 2020 data, 306,497 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Arkansas's uninsured rate fell from 16 percent in 2013 before the ACA to 9.1 percent as of 2019.

Read the full brief.

California

California cuts its uninsured rate by more than half, thanks to the Affordable Care Act.

As of February 2021, 1,583,781 California residents were enrolled in Marketplace coverage and according December 2020 data, 4,074,553 were newly eligible enrollees in Medicaid coverage thanks to the ACA. That totals to 5,658,334 California residents that gained access to health coverage. California's uninsured rate fell from 17.2 percent in 2013 before the ACA to 7.7 percent as of 2019.

California is one of seven states that have reduced their uninsured rate by at least half through enrollment in Marketplace coverage and expansion of Medicaid to adult populations.

Read the full brief.

Colorado

640,717 Colorado residents have gained health coverage through the Affordable Care Act.

As of February 2021, 161,342 Colorado residents were enrolled in Marketplace coverage and according December 2020 data, 479,375 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Colorado's uninsured rate fell from 14.1 percent in 2013 before the ACA to 8 percent as of 2019.

Read the full brief.

Connecticut

375,539 Connecticut residents have gained health coverage through the Affordable Care Act.

As of February 2021, 95,213 Connecticut residents were enrolled in Marketplace coverage and according December 2020 data, 280,326 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Connecticut's uninsured rate fell from 9.4 percent in 2013 before the ACA to 5.9 percent as of 2019.

Read the full brief.

Delaware

34,883 Delaware residents have gained health coverage through the Affordable Care Act.

As of February 2021, 23,889 Delaware residents were enrolled in Marketplace coverage and according December 2020 data, 10,994 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Delaware's uninsured rate fell from 9.1 percent in 2013 before the ACA to 6.6 percent as of 2019.

Read the full brief.

District of Columbia

88,678 District of Columbia residents have gained health coverage through the Affordable Care Act.

As of February 2021, 15,822 District of Columbia residents were enrolled in Marketplace coverage and according December 2020 data, 72,856 were newly eligible enrollees in Medicaid coverage thanks to the ACA. The District of Columbia's uninsured rate fell from 6.7 percent in 2013 before the ACA to 3.5 percent as of 2019.

Read the full brief.

Florida

2,018,631 Florida residents have gained health coverage through the Affordable Care Act.

As of February 2021, 2,018,631 Florida residents were enrolled in Marketplace coverage. Furthermore, Florida's uninsured rate fell from 20 percent in 2013 before the ACA to 13.2 percent as of 2019.

However, Florida has not yet expanded Medicaid under the ACA. HHS estimates that 796,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Georgia

482,350 Georgia residents have gained health coverage through the Affordable Care Act.

As of February 2021, 482,350 Georgia residents were enrolled in Marketplace coverage. Georgia's uninsured rate fell from 18.8 percent in 2013 before the ACA to 13.4 percent as of 2019.

However, Georgia has not yet expanded Medicaid under the ACA. HHS estimates that 445,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Hawaii

45,060 Hawaii residents have gained health coverage through the Affordable Care Act.

As of February 2021, 20,191 Hawaii residents were enrolled in Marketplace coverage and according December 2020 data, 24,869 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Hawaii's uninsured rate fell from 6.7 percent in 2013 before the ACA to 4.2 percent as of 2019.

Read the full brief.

Idaho

156,355 Idaho residents have gained health coverage through the Affordable Care Act.

As of February 2021, 66,422 Idaho residents were enrolled in Marketplace coverage and according December 2020 data, 89,933 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Idaho's uninsured rate fell from 16.2 percent in 2013 before the ACA to 10.8 percent as of 2019.

Read the full brief.

Illinois

974,572 Illinois residents have gained health coverage through the Affordable Care Act.

As of February 2021, 270,823 Illinois residents were enrolled in Marketplace coverage and according December 2020 data, 703,749 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Illinois's uninsured rate fell from 12.7 percent in 2013 before the ACA to 7.4 percent as of 2019.

Read the full brief.

Indiana

572,729 Indiana residents have gained health coverage through the Affordable Care Act.

As of February 2021, 124,979 Indiana residents were enrolled in Marketplace coverage and according December 2020 data, 447,750 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Indiana's uninsured rate fell from 14 percent in 2013 before the ACA to 8.7 percent as of 2019.

Read the full brief.

Iowa

232,637 Iowa residents have gained health coverage through the Affordable Care Act.

As of February 2021, 54,820 Iowa residents were enrolled in Marketplace coverage and according December 2020 data, 177,817 were newly eligible enrollees in Medicaid coverage thank to the ACA. Iowa's uninsured rate fell from 8.1 percent in 2013 before the ACA to 5 percent as of 2019.

Read the full brief.

Kansas

82,971 Kansas residents have gained health coverage through the Affordable Care Act.

As of February 2021, 82,971 Kansas residents were enrolled in Marketplace coverage. Kansas's uninsured rate fell from 12.3 percent in 2013 before the ACA to 9.2 percent as of 2019.

However, Kansas has not yet expanded Medicaid under the ACA. HHS estimates that 57,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Kentucky

Kentucky cuts its uninsured rate by more than half, thanks to the Affordable Care Act.

As of February 2021, 70,680 Kentucky residents were enrolled in Marketplace coverage and according December 2020 data, 612,712 were newly eligible enrollees in Medicaid coverage thanks to the ACA. That totals to 683,392 Kentucky residents that gained access to health coverage. Kentucky's uninsured rate fell from 14.3 percent in 2013 before the ACA to 6.4 percent as of 2019.

Kentucky is one of seven states that have reduced their uninsured rate by at least half through enrollment in Marketplace coverage and expansion of Medicaid to adult populations.

Read the full brief.

Louisiana

674,878 Louisiana residents have gained health coverage through the Affordable Care Act.

As of February 2021, 76,289 Louisiana residents were enrolled in Marketplace coverage and according December 2020 data, 598,589 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Louisiana's uninsured rate fell from 16.6 percent in 2013 before the ACA to 8.9 percent as of 2019.

Read the full brief.

Maine

113,305 Maine residents have gained health coverage through the Affordable Care Act.

As of February 2021, 55,502 Maine residents were enrolled in Marketplace coverage and according December 2020 data, 57,803 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Maine's uninsured rate fell from 11.2 percent in 2013 before the ACA to 8 percent as of 2019.

Read the full brief.

Maryland

521,630 Maryland residents have gained health coverage through the Affordable Care Act.

As of February 2021, 154,815 Maryland residents were enrolled in Marketplace coverage and according December 2020 data, 366,815 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Maryland's uninsured rate fell from 10.2 percent in 2013 before the ACA to 6 percent as of 2019.

Read the full brief.

Massachusetts

259,677 Massachusetts residents have gained health coverage through the Affordable Care Act.

As of February 2021, 259,677 Massachusetts residents were enrolled in Marketplace coverage thanks to the ACA. Massachusetts's uninsured rate fell from 3.7 percent in 2013 before the ACA to 3 percent as of 2019.

Read the full brief.

Michigan

1,059,421 Michigan residents have gained health coverage through the Affordable Care Act.

As of February 2021, 249,353 Michigan residents were enrolled in Marketplace coverage and according December 2020 data, 810,068 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Michigan's uninsured rate fell from 11 percent in 2013 before the ACA to 5.8 percent as of 2019.

Read the full brief.

Minnesota

335,787 Minnesota residents have gained health coverage through the Affordable Care Act.

As of February 2021, 106,138 Minnesota residents were enrolled in Marketplace coverage and according December 2020 data, 229,649 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Minnesota's uninsured rate fell from 8.2 percent in 2013 before the ACA to 4.9 percent as of 2019.

Read the full brief.

Mississippi

99,897 Mississippi residents have gained health coverage through the Affordable Care Act.

As of February 2021, 99,897 Mississippi residents were enrolled in Marketplace coverage. Mississippi's uninsured rate fell from 17.1 percent in 2013 before the ACA to 13 percent as of 2019.

However, Mississippi has not yet expanded Medicaid under the ACA. HHS estimates that 189,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Missouri

200,588 Missouri Mississippi residents have gained health coverage through the Affordable Care Act.

As of February 2021, 200,588 Missouri residents were enrolled in Marketplace coverage. Missouri's uninsured rate fell from 13 percent in 2013 before the ACA to 10 percent as of 2019.

However, Missouri has not yet expanded Medicaid under the ACA. HHS estimates that 204,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Montana

142,327 Montana residents have gained health coverage through the Affordable Care Act.

As of February 2021, 41,842 Montana residents were enrolled in Marketplace coverage and according December 2020 data, 100,485 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Montana's uninsured rate fell from 16.5 percent in 2013 before the ACA to 8.3 percent as of 2019.

Read the full brief.

Nebraska

111,213 Nebraska residents have gained health coverage through the Affordable Care Act.

As of February 2021, 83,275 Nebraska residents were enrolled in Marketplace coverage and according December 2020 data, 27,938 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Nebraska's uninsured rate fell from 11.3 percent in 2013 before the ACA to 8.3 percent as of 2019.

Read the full brief.

Nevada

355,412 Nevada residents have gained health coverage through the Affordable Care Act.

As of February 2021, 79,976 Nevada residents were enrolled in Marketplace coverage and according December 2020 data, 275,436 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Nevada's uninsured rate fell from 20.7 percent in 2013 before the ACA to 11.4 percent as of 2019.

Read the full brief.

New Hampshire

114,042 New Hampshire residents have gained health coverage through the Affordable Care Act.

As of February 2021, 44,228 New Hampshire residents were enrolled in Marketplace coverage and according December 2020 data, 69,814 were newly eligible enrollees in Medicaid coverage thanks to the ACA. New Hampshire's uninsured rate fell from 10.7 percent in 2013 before the ACA to 6.3 percent as of 2019.

Read the full brief.

New Jersey

880,345 New Jersey residents have gained health coverage through the Affordable Care Act.

As of February 2021, 257,819 New Jersey residents were enrolled in Marketplace coverage and according December 2020 data, 622,526 were newly eligible enrollees in Medicaid coverage thanks to the ACA. New Jersey's uninsured rate fell from 13.2 percent in 2013 before the ACA to 7.9 percent as of 2019.

Read the full brief.

New Mexico

324,479 New Mexico residents have gained health coverage through the Affordable Care Act.

As of February 2021, 38,922 New Mexico residents were enrolled in Marketplace coverage and according December 2020 data, 285,557 were newly eligible enrollees in Medicaid coverage thanks to the ACA. New Mexico's uninsured rate fell from 18.6 percent in 2013 before the ACA to 10 percent as of 2019.

Read the full brief.

New York

New York cuts its uninsured rate by more than half, thanks to the Affordable Care Act.

As of February 2021, 197,083 New York residents were enrolled in Marketplace coverage and according December 2020 data, 395,785 were newly eligible enrollees in Medicaid coverage thanks to the ACA. That totals to 592,868 New York residents that gained access to health coverage. New York's uninsured rate fell from 10.7 percent in 2013 before the ACA to 5.2 percent as of 2019.

New York is one of seven states that have reduced their uninsured rate by at least half through enrollment in Marketplace coverage and expansion of Medicaid to adult populations.

Read the full brief.

North Carolina

501,252 North Carolina residents have gained health coverage through the Affordable Care Act.

As of February 2021, 501,252 North Carolina residents were enrolled in Marketplace coverage. North Carolina's uninsured rate fell from 15.6 percent in 2013 before the ACA to 11.3 percent as of 2019.

However, North Carolina has not yet expanded Medicaid under the ACA. HHS estimates that 328,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

North Dakota

44,686 North Dakota residents have gained health coverage through the Affordable Care Act.

As of February 2021, 21,822 North Dakota residents were enrolled in Marketplace coverage and according December 2020 data, 22,864 were newly eligible enrollees in Medicaid coverage thanks to the ACA. North Dakota's uninsured rate fell from 10.4 percent in 2013 before the ACA to 6.9 percent as of 2019.

Read the full brief.

Ohio

749,604 Ohio residents have gained health coverage through the Affordable Care Act.

As of February 2021, 187,869 Ohio residents were enrolled in Marketplace coverage and according December 2020 data, 561,735 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Ohio's uninsured rate fell from 11 percent in 2013 before the ACA to 6.6 percent as of 2019.

Read the full brief.

Oklahoma

161,639 Oklahoma residents have gained health coverage through the Affordable Care Act.

As of February 2021, 161,639 Oklahoma residents were enrolled in Marketplace coverage. Oklahoma's uninsured rate fell from 17.7 percent in 2013 before the ACA to 14.3 percent as of 2019. Oklahoma has recently expanded Medicaid under the ACA. HHS estimates that 190,000 uninsured adults will become newly eligible for Medicaid.

Read the full brief.

Oregon

Oregon cuts its uninsured rate by more than half, thanks to the Affordable Care Act.

As of February 2021, 129,436 Oregon residents were enrolled in Marketplace coverage and according December 2020 data, 490,690 were newly eligible enrollees in Medicaid coverage thanks to the ACA. That totals to 620,126 Oregon residents that gained access to health coverage. Oregon's uninsured rate fell from 14.7 percent in 2013 before the ACA to 7.2 percent as of 2019.

Oregon is one of seven states that have reduced their uninsured rate by at least half through enrollment in Marketplace coverage and expansion of Medicaid to adult populations.

Read the full brief.

Pennsylvania

1,229,222 Pennsylvania residents have gained health coverage through the Affordable Care Act.

As of February 2021, 315,334 Pennsylvania residents were enrolled in Marketplace coverage and according December 2020 data, 913,888 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Pennsylvania's uninsured rate fell from 9.7 percent in 2013 before the ACA to 5.8 percent as of 2019.

Read the full brief.

Rhode Island

Rhode Island cuts its uninsured rate by more than half, thanks to the Affordable Care Act.

As of February 2021, 30,670 Rhode Island residents were enrolled in Marketplace coverage and according December 2020 data, 82,223 were newly eligible enrollees in Medicaid coverage thanks to the ACA. That totals to 112,893 Rhode Island residents that gained access to health coverage. Rhode Island's uninsured rate fell from 11.6 percent in 2013 before the ACA to 4.1 percent as of 2019.

Rhode Island is one of seven states that have reduced their uninsured rate by at least half through enrollment in Marketplace coverage and expansion of Medicaid to adult populations.

Read the full brief.

South Carolina

217,292 South Carolina residents have gained health coverage through the Affordable Care Act.

As of February 2021, 217,292 South Carolina residents were enrolled in Marketplace coverage. South Carolina's uninsured rate fell from 15.8 percent in 2013 before the ACA to 10.8 percent as of 2019.

However, South Carolina has not yet expanded Medicaid under the ACA. HHS estimates that 136,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

South Dakota

29,974 South Dakota residents have gained health coverage through the Affordable Care Act.

As of February 2021, 29,974 South Dakota residents were enrolled in Marketplace coverage. South Dakota's uninsured rate fell from 11.3 percent in 2013 before the ACA to 10.2 percent as of 2019.

However, South Dakota has not yet expanded Medicaid under the ACA. HHS estimates that 23,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Tennessee

196,626 Tennessee residents have gained health coverage through the Affordable Care Act.

As of February 2021, 196,626 Tennessee residents were enrolled in Marketplace coverage. Tennessee's uninsured rate fell from 13.9 percent in 2013 before the ACA to 10.1 percent as of 2019.

However, Tennessee has not yet expanded Medicaid under the ACA. HHS estimates that 179,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Texas

1,210,431 Texas residents have gained health coverage through the Affordable Care Act.

As of February 2021, 1,210,431 Texas residents were enrolled in Marketplace coverage. Texas's uninsured rate fell from 22.1 percent in 2013 before the ACA to 18.4 percent as of 2019.

However, Texas has not yet expanded Medicaid under the ACA. HHS estimates that 1,378,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Utah

276,674 Utah residents have gained health coverage through the Affordable Care Act.

As of February 2021, 198,037 Utah residents were enrolled in Marketplace coverage and according December 2020 data, 78,637 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Utah's uninsured rate fell from 14 percent in 2013 before the ACA to 9.7 percent as of 2019.

Read the full brief.

Vermont

23,700 Vermont residents have gained health coverage through the Affordable Care Act.

As of February 2021, 23,700 Vermont residents were enrolled in Marketplace coverage thanks to the ACA. Vermont's uninsured rate fell from 7.2 percent in 2013 before the ACA to 4.5 percent as of 2019.

Read the full brief.

Virginia

692,277 Virginia residents have gained health coverage through the Affordable Care Act.

As of February 2021, 198,037 Virginia residents were enrolled in Marketplace coverage and according December 2020 data, 494,240 were newly eligible enrollees in Medicaid coverage thanks to the ACA. Virginia's uninsured rate fell from 12.3 percent in 2013 before the ACA to 7.9 percent as of 2019.

Read the full brief.

Washington

Washington cuts its uninsured rate by more than half, thanks to the Affordable Care Act.

As of February 2021, 202,546 Washington residents were enrolled in Marketplace coverage and according December 2020 data, 662,676 were newly eligible enrollees in Medicaid coverage thanks to the ACA. That totals to 865,222 Washington residents that gained access to health coverage. Washington's uninsured rate fell from 14 percent in 2013 before the ACA to 6.6 percent as of 2019.

Washington is one of seven states that have reduced their uninsured rate by at least half through enrollment in Marketplace coverage and expansion of Medicaid to adult populations.

Read the full brief.

West Virginia

West Virginia cuts its uninsured rate by more than half, thanks to the Affordable Care Act.

As of February 2021, 17,217 West Virginia residents were enrolled in Marketplace coverage and according December 2020 data, 193,341 were newly eligible enrollees in Medicaid coverage thanks to the ACA. That totals to 210,558 West Virginia residents that gained access to health coverage. West Virginia's uninsured rate fell from 14 percent in 2013 before the ACA to 6.7 percent as of 2019.

West Virginia is one of seven states that have reduced their uninsured rate by at least half through enrollment in Marketplace coverage and expansion of Medicaid to adult populations.

Read the full brief.

Wisconsin

202,546 Wisconsin residents have gained health coverage through the Affordable Care Act.

As of February 2021, 202,546 Wisconsin residents were enrolled in Marketplace coverage. Wisconsin's uninsured rate fell from 9.1 percent in 2013 before the ACA to 5.7 percent as of 2019.

However, Wisconsin has not yet expanded Medicaid under the ACA. HHS estimates that 31,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

Wyoming

25,319 Wyoming residents have gained health coverage through the Affordable Care Act.

As of February 2021, 25,319 Wyoming residents were enrolled in Marketplace coverage. Wyoming's uninsured rate fell from 13.4 percent in 2013 before the ACA to 12.3 percent as of 2019.

However, Wyoming has not yet expanded Medicaid under the ACA. HHS estimates that 24,000 uninsured adults would become newly eligible for Medicaid in the state if it were to expand eligibility to 138% of the federal poverty level.

Read the full brief.

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