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How Many Uninsured Are in the Coverage Gap?

This analysis estimates that 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 coverage ACA's Marketplaces affordable to them.

Key Facts about the Uninsured Population

The number of people ages 0-64 who were uninsured held steady at 25.3 million in 2023, although the number of uninsured children rose from 3.8 million to 4.0 million. Most uninsured people are in low-income families and have at least one worker in the family.

How the Unwinding Affected Enrollees

Over half who were disenrolled say they put off needed medical care while trying to renew Medicaid. Overall, 19% of adults who had Medicaid prior to the start of unwinding say they were disenrolled at some point in the past year. Of this group, a large majority (70%) were left at least temporarily uninsured.

The uninsured: How costs affect care and health, 2023

Latest Polling
8%

Percent of adults who reported not having health insurance
55%

Percent of uninsured adults who reported delaying or forgoing some form of health care due to cost
19%

Percent of uninsured adults who report that they or a family member had difficulty paying medical bills
38%

Percent of uninsured adults who reported not having a usual source of care (vs. 8% of insured adults)
Peterson-KFF Health System Tracker

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  • Coverage of Gynecological Care and Contraception

    Fact Sheet

    Gynecological services are vital for women throughout their lifetimes. Pap smears, breast exams, counseling, and contraceptive care are important preventive services, but women often do not get these at levels recommended by experts. This fact sheet summarizes coverage of gynecological care and contraceptives.

  • The Kaiser Project on Incremental Health Reform

    Other Post

    In November 1996, the Kaiser Family Foundation initiated a project to examine different strategies for expanding health insurance coverage to America's growing uninsured population.

  • Medicaid and Managed Care: Implications for Low-income Women

    Report

    This commentary reviews Medicaid's role for low-income women and examines the implications Medicaid managed care on the delivery of health services to this vulnerable population. Today 40% of the Medicaid population, mostly poor women and their children, is enrolled in managed care.

  • Pending Patient Protection Legislation

    Other Post

    : A Comparative Analysis of Key Provisions of the House and Senate Versions of H.R. 2990 was prepared for the Kaiser Family Foundation by Phyllis Borzi and Sara Rosenbaum of the Center for Health Services Research and Policy, The George Washington University Medical Center.

  • Medicaid and Children: Overcoming Barriers to Enrollment

    Report

    Findings from a National Survey This national telephone survey of low-income parents represents a major effort to better understand the barriers to Medicaid enrollment and to test the usefulness of ideas to facilitate enrollment in a quantitative way.

  • Table

    Other Post

    SUMMARY OF CALIFORNIA VERSUS THE U KEY HEALTH CARE FACTS IN CALIFORNIA AND THE U.S. California U.S. Percentage uninsured (non-elderly) (1998) 24.4% 18.3% Percentage of children uninsured (1998) 20.8% 15.5% Percentage of non-elderly enrolled in Medicaid: 1998 11.1% 8.4% 1994 14.3% 10.