Health Reform
This category includes information on state health insurance marketplaces, Medicaid expansion, uninsured individuals and the ACA, and medical loss ratios. Additionally, this category contains information on ACA repeal and replace efforts and rate review processes.
Select an indicator below to view state data. Results will be shown as a table, map, or trend graph, as available. To compile data from multiple indicators for one or more states, build a Custom State Report.
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Health Reform Indicators
Health Insurance Marketplaces
- Marketplace Enrollment, 2014-2020
- Marketplace Average Benchmark Premiums
- Average Marketplace Premiums by Metal Tier, 2018-2021
- Percent Change in Average Marketplace Premiums by Metal Tier, 2018-2021
- Number of Issuers Participating in the Individual Health Insurance Marketplaces
- State Health Insurance Marketplace Types, 2021
2020 Marketplace Open Enrollment Period
- Total Marketplace Enrollment
- Marketplace Plan Selections with Financial Assistance
- Marketplace Plan Selections by Enrollment Type
- Marketplace Plan Selections by Age
- Marketplace Plan Selections by Gender
- Marketplace Plan Selections by Race/Ethnicity
- Marketplace Plan Selections by Metal Level
- Marketplace Plan Selections by Household Income
- HealthCare.gov Marketplace Plan Selections by Rural Status
- Marketplace Average Premiums and Average Advanced Premium Tax Credit (APTC)
- Average Marketplace Deductible
Marketplace Effectuated Enrollment and Financial Assistance
Current Medicaid/CHIP Enrollment
Coverage under the Medicaid Expansion
ACA and the Uninsured
- Distribution of Eligibility for ACA Health Coverage Among those Remaining Uninsured as of 2018
- Distribution of Nonelderly Uninsured Individuals who are Ineligible for Financial Assistance due to Income, Offer of Employer Coverage, or Citizenship Status
- Characteristics of Poor Uninsured Nonelderly Adults in the ACA Coverage Gap
Medicaid and Health Reform
- Status of State Action on the Medicaid Expansion Decision
- Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level
- Medicaid and Health Insurance Marketplace Coordination
- Grants Awarded for Medicaid Incentives for Chronic Disease Prevention Programs
ACA Repeal and Replacement Proposals
- Monthly Premium for a Silver Plan Under the ACA and BCRA
- Difference in Premium Tax Credits under the ACA and AHCA for a 27-Year-Old
- Difference in Premium Tax Credits under the ACA and AHCA for a 40-Year-Old
- Difference in Premium Tax Credits under the ACA and AHCA for a 60-Year-Old
- Difference in Premium Tax Credits under the ACA and AHCA for a 60-Year-Old Couple
Essential Community Providers
Essential Health Benefits
Medical Loss Ratio (MLR) Rebates
- Total Medical Loss Ratio (MLR) Rebates in All Markets for Consumers and Families
- Medical Loss Ratio (MLR) Rebates in the Individual Market for Consumers and Families
- Medical Loss Ratio (MLR) Rebates in the Small Group Market for Consumers and Families
- Medical Loss Ratio (MLR) Rebates in the Large Group Market for Consumers and Families