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Quote from KFF President and CEO Drew Altman reads, "when it comes to the “affordability crisis” driving the national discussion of health care today, the chronically ill, and most of all the chronically ill uninsured, are the tip of the spear."

The Group that Struggles the Most in American Health Care

In a new column, Dr. Drew Altman, KFF’s Founding President and CEO, previews findings about the chronically ill uninsured from a large KFF survey of 25,000 Americans focusing on the cost and access challenges facing the chronically ill, which will be released tomorrow. He writes: “There are more than enough needs to go around in American health care, but if I had to pick the one group that struggles the most with costs and access, it would be people with chronic illnesses who are also uninsured.”

Other “Beyond the Data” columns >>

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.

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.

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
Other key facts about the uninsured >>

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301-310 of 1,316 results

  • Health Coverage For Low-Income Children.

    Fact Sheet

    Health Coverage For Low-Income Children This fact sheet profiles the low-income children population, describes sources of health insurance coverage for the population, and summarizes trends and issues about their health coverage. Fact Sheet (.pdf)

  • Medicaid and CHIP Health Reform Implementation Timeline

    Issue Brief

    This timeline highlights the implementation dates for provisions in the new health reform law that are related to Medicaid and the Children's Health Insurance Program. While major expansions of Medicaid are set to occur in 2014, many other key provisions in the health reform law become effective between 2010 and 2014. Timeline (.pdf)

  • Optimizing Medicaid Enrollment: Spotlight on Technology – Wisconsin’s ACCESS Internet Portal

    Issue Brief

    This brief examines how ACCESS, a web-based, self-service tool developed by the state of Wisconsin, helps Wisconsin residents find out whether they may be eligible for BadgerCare Plus and other public programs, as well as apply for benefits, check and renew benefits, and report changes to keep their eligibility current -- all online. It is the second brief in a Spotlight on Technology series profiling several states' innovative applications of technology to Medicaid enrollment efforts.…

  • Survey of Consumer Experiences in Managed Care – News Release

    Other Post

    New Survey Offers Insight Into Experiences of Managed Care Consumers Majority of Sacramento Managed Care Consumers Report No Difficulty with Their Plan, But Over a Quarter Had Problems For Immediate Release:Wednesday, November 19, 1997 Contacts:Heather Balas,Kaiser Family Foundation, (650) 854-9400 Katie Salvas,Sierra Health Foundation, (916) 922-4755 Magdalena Beltran-del Omo,The California Wellness Foundation, (818) 589-6600 Lauren Schaefer,Health Rights Hotline, (916) 551-2147 Medicaid Beneficiaries Report Highest Rate of Difficulty Sacramento, California -- Much national attention is currently…

  • Access to Care for S-CHIP Adolescents

    Report

    The second in a series of reports on implementation issues and challenges in the first year of S-CHIP finds that the five study states have not focused special attention on the unique service needs of this age group, such as risk assessment and counseling, reproductive and sexual health services, and mental health services, when designing their programs. REPORT Download

  • Small Employers and Health Insurance and State Reforms of Small Group Health Insurance

    Fact Sheet

    Fact sheets on health insurance among small employers and state reforms of small group health insurance. Fact Sheet: Small Employers and Health Insurance Fact Sheet: Small Employers and Health Insurance Fact Sheet: State Reforms of Small Group Health Insurance Fact Sheet: State Reforms of Small Group Health Insurance

  • Study on the Consequences of Uninsurance Featured in a New Journal Supplement

    Other Post

    A June 2003 supplement of Medical Care Research and Review presents a compelling case that health insurance does lead to improved health and better access to care. The supplement, with Thomas Rice as guest editor, includes four commentaries on the topic by John Ayanian, Stuart Butler, Karen Davis, and Richard Kronick. The supplement, published by Sage Publications and supported by the Kaiser Commission on Medicaid and the Uninsured (KCMU), features Jack Hadley s exhaustive review…

  • Striving to Make Ends Meet:  Low-Income Families’ Finances and Health Coverage

    Other Post

    Striving to Make Ends Meet: Low-Income Families’ Finances and Health Coverage The Kaiser Commission on Medicaid and the Uninsured released new reports and held a policy briefing on the challenges and tradeoffs low-income families face when dealing with their budgets and the implications for health coverage. Challenges and Tradeoffs in Low-Income Family Budgets: Implications for Health CoverageFaces of Medicaid Webcast of April 20, 2004 Policy Briefing

  • Addressing the Health Care Impact of Hurricane Katrina

    Issue Brief

    This issue paper is an effort to begin an assessment of health care needs in the wake of Hurricane Katrina and to review some of the policy options available to the federal government to ensure access to health care for those affected by Katrina. The brief begins with a summary of the implications for the health of the population and its access to needed care. It then outlines the implications for affected states – those…

  • Health Care: Squeezing The Middle Class With More Costs and Less Coverage

    Event

    Health Care: Squeezing The Middle Class With More Costs and Less Coverage Diane Rowland, executive vice president of the Foundation and executive director of the Foundation's Commission on Medicaid and the Uninsured, testified to the U.S. House Committee on Ways and Means about the economic challenges of rising health care costs and growing gaps in health coverage facing middle class families. Testimony (.pdf)