Uninsured

Data and analysis

The coverage gap exists because some states did not expand Medicaid under the ACA to cover adults under age 65 without dependent children with incomes at/below 138% of the federal poverty level (FPL)

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 ACA tax credits that would make coverage affordable.

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.

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.

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 >>

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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  • Health Care Reform: Issues Relating to Managed Care

    Other Post

    Health Care Reform: Issues Relating to Managed Care Note: This publication is no longer in circulation. However, a copy may still exist in the Foundation's internal library that could be reproduced. Please email order@kff.org if you would like to pursue this option.

  • Participation in Welfare and Medicaid Enrollment

    Other Post

    Part 2 In addition to the state exit studies,24 another source of evidence about the impacts of loss of cash assistance can be found in the set of evaluations of the impacts of welfare-work initiatives. Several program evaluations contain data which may suggest that one unintended consequence of state efforts to increase employment among families receiving assistance could be a decline in health care coverage: The National JOBS Program Evaluation measured the impacts of employment…

  • Health Insurance Coverage in America: 2000 Data Update

    Report

    Health Insurance Coverage in America: 2000 Data Update This chart book provides year 2000 data on health insurance coverage, with special attention to the uninsured. It includes trends and major shifts in coverage and a profile of the uninsured population. Chartbook The Uninsured and Their Access to Health Care Link to other Health Insurance Coverage in America chartbooks.

  • Changes in Insurance Coverage: 1994-2000 and Beyond

    Report

    This background report explores the insurance trends for the latter half of the 1990s and examines why the number of uninsured nonelderly Americans fell in 2000 for the second straight year. Some of the key findings include: -- Between 1999 and 2000, the number of uninsured declined by 570,000; uninsured children actually declined by 700,000 while the number of uninsured adults increased by 130,000. Expansions in Medicaid and the State Children's Health Insurance Program (SCHIP)…

  • Kaiser Family Foundation/Harvard University School of Public Health: Update on Americans’ Views on the Consumer Protections Debate

    Poll Finding

    Kaiser Family Foundation/Harvard University School of Public Health: Update on Americans' Views on the Consumer Protections DebateThe Kaiser Family Foundation/Harvard University School of Public Health Update on American's Views on Consumer Protections in Managed Care is based on findings from the April 1999 Kaiser/Harvard Health News Index. The survey was designed and analyzed by researchers at the Kaiser Family Foundation and Harvard University. Nationwide interviews were conducted by telephone with 1,200 adults, 18 years and…

  • Extending Health Insurance Through Tax Credits

    Report

    Part of the Kaiser Incremental Health Reform Project, this paper describes a generous tax credit approach to the expansion of health insurance coverage. The design features of refundable, publicly-financed tax credits for the purchase of health insurance are described for a range of sample plans. Issue Paper

  • Uninsured Children in the South

    Other Post

    Over 4 million Southern Children have no Health Insurance Embargoed for release until: 8:30 am, ET, Monday, December 9, 1996 For more information contact: Chris Ferris (202)347-5270 New Study: Despite Recent Gains, South Still Home to Disproportionate Share ofNation's Uninsured Children Washington, D.C. -- A new report, sponsored by the Kaiser Family Foundation and prepared by the Southern Institute on Children and Families, finds that the South was home to 4.1 million uninsured children in…