Uninsured

New and noteworthy

How Much and Why ACA Marketplace Premiums Are Going Up in 2026

This analysis of initial rate filings from all 50 states and DC shows ACA Marketplace insurers are proposing a median premium increase of 18% for 2026, more than double last year’s 7% median proposed increase. The analysis includes proposed rate changes by state and insurer.

Data and analysis

The Uninsured Population 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.

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)

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  • Health Care Agenda for the New Congress

    Poll Finding

    This survey captures the public's attitudes regarding the health care agenda for Bush's second term and the new Congress in 2005.

  • 2003 Health Insurance Survey – Summary and Chartpack

    Report

    The 2003 Kaiser Family Foundation Health Insurance Survey examines the public's level of satisfaction with their insurance coverage, their expectations of health insurance, the role of costs and other factors in health insurance decision-making, and attitudes toward employer-sponsored coverage.

  • Summary Of Early Observations Of The Transition Of Immigrant Families From A Medicaid Look-Alike Program To Basic Health In Washington State

    Issue Brief

    In 2002, the state of Washington eliminated state-funded Medicaid look-alike coverage for certain immigrant families. These families then became eligible for more limited coverage in the state's Basic Health program. This report details the process of this transition and the outcomes for coverage and access for these individuals. Research Brief (.

  • NPR/Kaiser/Harvard Survey: The Public on Requiring Individuals to Have Health Insurance – Toplines

    Poll Finding

    These toplines present detailed survey results from a February 2008 survey conducted jointly by NPR and public opinion researchers at the Kaiser Family Foundation and the Harvard School of Public Health that examines how the public views different approaches for expanding health coverage, including provisions that would require individuals to purchase insurance or parents to…

  • How Will the Uninsured Fare Under the Affordable Care Act?

    Fact Sheet

    This report explains how the ACA expands coverage nationally, including a breakdown of how many uninsured people are eligible for Medicaid, how many are eligible for financial assistance to help them buy private insurance in the new Marketplace and how many will not receive any financial assistance at all. The report also details, in specific dollar figures, the income levels at which people are eligible for Medicaid or financial assistance in the Marketplace. For states not expanding Medicaid, the report quantifies how many uninsured people fall into the “coverage gap,” meaning they will be ineligible for financial assistance in the Marketplace or for Medicaid in their state despite having an income below the federal poverty level.

  • Measuring Changes in Insurance Coverage Under the Affordable Care Act

    Issue Brief

    This data note discusses the details and timing of some of the private and federal surveys that will be used to look at how coverage has changed due to the Affordable Care Act. Different surveys offer different information and insight into coverage under the ACA, and we discuss the contributions and challenges in each type of effort.

  • Explaining the 2015 Open Enrollment Period

    Issue Brief

    The brief provides an overview of what consumers can expect during the second annual Open Enrollment period under the Affordable Care Act (ACA), which runs from November 15, 2014 through February 15, 2015. It is the second opportunity for uninsured individuals to enroll in private insurance coverage, premium tax credits and cost sharing subsidies and the first time that people newly insured in 2014 can renew their health plan coverage and subsidies. It also overlaps with the start of the tax filing season, during which subsidized individuals will undergo tax reconciliation of their 2014 financial assistance and the individual responsibility provisions of the ACA will be enforced.