Uninsured

New and noteworthy

Affordability Is the Issue Now, But Look for the Uninsured to Make a Comeback

A new column on the uninsured from President and CEO Dr. Drew Altman explains: “The uninsured is not the most politically salient problem in health care now, that’s affordability, nor is it the non-problem some say it is. But it’s coming back. And the problem of the chronically ill uninsured is glaring.” Read more.

Key Facts about the Uninsured Population

The number and share of people without insurance grew in 2024, increasing for the first time since 2019, according to KFF’s analysis of data from the American Community Survey (ACS). This issue brief describes trends in health coverage in 2024, examines the characteristics of the uninsured population , and summarizes the access and financial implications of not having coverage.

More on the uninsured population >>

Data and analysis

The Uninsured and Health Coverage

This Health Policy 101 chapter examines the share of the United States population who are uninsured, highlighting their demographics and the challenges they face because of the lack of coverage.

State Health Facts: Health Coverage & the Uninsured

Get data on health insurance status for the population overall and broken down by age, gender, and income. More than 800 up-to-date health indicators at the state level can be mapped, ranked, and downloaded through State Health Facts.

How Many Uninsured Are in the Coverage Gap?

An estimated 1.4 million uninsured individuals in the 10 states without Medicaid expansion, including many working adults, people of color, and those with disabilities, remain in the “coverage gap,” ineligible for Medicaid or for tax credits that would make ACA coverage affordable to them.

Key Facts on Health Coverage of Immigrants

This fact sheet provides an overview of health coverage for immigrants based on data from the 2023 KFF/LA Times Survey of Immigrants. As of 2023, half of likely undocumented immigrant adults and one in five lawfully present immigrant adults reported being uninsured.

Who was uninsured in 2024?

Latest Polling
9.8%

The share of people under age 65 without insurance
62%

The share of uninsured adults who said they were uninsured because coverage is not affordable
59%

The share of uninsured adults who said they or someone living with them had problems paying for health care
39%

The share of uninsured adults who reported delaying or not getting needed care or medication due to cost

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  • The Future of Retiree Health Benefits: Challenges and Options

    Event Date:
    Event

    Tricia Neuman, Vice President and Director of the Medicare Policy Project testified before the House Subcommittee on Employer-Employee Relations on retiree health coverage for older Americans. The statement describes the health needs of aging adults and the importance of health insurance coverage at a time in their lives when they face increasing health problems. It then reviews insurance challenges facing both early retirees, as well as retirees who are 65 and older, against the backdrop…

  • Issues Related to Unspent S-CHIP Money

    Issue Brief

    A new policy brief discusses issues involving over $11 billion of S-CHIP funds that states have not spent. It has been proposed that states could apply to use the funds for unemployed workers in these tough economic times. What are the implications? ISSUE BRIEF Download

  • The Role of Medicaid in State Budgets

    Issue Brief

    A new policy brief examines the role of Medicaid in state budgets, the reasons behind rising growth in the program, and explores strategies for states to cope with higher spending in tough economic times. Policy Brief Also see recent publications on maintaining health coverage and securing Medicaid in today's economy

  • Health Insurance for Unemployed Workers

    Event Date:
    Event

    Submitted testimony of Diane Rowland, executive director of the Commission, about health insurance options for unemployed workers. She was scheduled to testify to the U.S. Senate Committee on Health, Education, Labor, and Pensions, but the hearing was postponed.

  • Medicaid and State Budgets: An October 2001 Update

    Report

    An update to "Medicaid Budgets Under Stress: Survey Findings for State Fiscal Year 2000, 2001, and 2002." This paper was commissioned to evaluate how several states' fiscal outlooks have changed since September 11. ISSUE BRIEF Download FULL REPORT Download

  • Maintaining Health Coverage and Securing the Medicaid Safety Net in a Sluggish Economy

    Fact Sheet

    The current economy is a key concern as federal and state leaders worry about the expected rise in unemployment and the related loss of employer health coverage. Policymakers are considering several options to ensure that we do not experience a health coverage crisis as we deal with the impact of the September 11th tragedy and ongoing concerns. In addition, states that were already preparing for budget problems are reporting even worse scenarios for their fiscal…

  • Access to Care and Use of Health Services by Low-Income Women

    Issue Brief

    This article, by Ruth Almeida and Lisa Dubay of the Urban Institute and Grace Ko of Brown University, examines the effect of insurance on low-income women's access to care and use of health services. Using the 1997 National Survey of America's Families, it examines access to health care for three groups of low-income women: those with Medicaid, those with private coverage, and those with no insurance. Uninsured low-income women were found to have experienced greater…

  • Medicaid Support for Family Planning in the Managed Care Era

    Report

    As the largest source of public funding for contraceptive care in the United States, Medicaid plays a crucial role in financing family planning services and supplies for millions of low-income women across the nation. In the past 15 years, managed care has become the primary way of delivering care to children and adults on Medicaid, a development which has had significant implications for how family planning services are financed, organized and delivered under Medicaid. This…