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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661 - 670 of 1,310 Results

  • Medicare Chartbook

    Report

    The Medicare Chartbook includes data and background information critical to understanding the Medicare program and the challenges it faces in keeping up with the rising costs of health care and in ensuring the program s future financial security.

  • Putting Express Lane Eligibility into Practice

    Report

    A new report details how the practice of express lane eligibility, or utilizing information from other public benefit programs, can quicken the enrollment of low-income children into the Medicaid and CHIP programs. REPORT Download

  • Medicaid and Prescription Drugs

    Fact Sheet

    Summarizes the coverage of outpatient prescription drugs by Medicaid. Many low-income seniors and other Medicaid recipients rely on this benefit as their only means of drug coverage. Information on the drug rebate program and utilization management procedures is included, as well as data on who uses the benefit, how much is spent per enrollee, and what the data says about future trends. Fact Sheet : An Overview

  • The Key to the Door: Medicaid’s Role in Improving Health Care for Women and Children

    Report

    This article, authored by Diane Rowland, Alina Salganicoff, and Patricia Keenan of the Kaiser Commission on Medicaid and the Uninsured, assesses Medicaid's contributions as a public financing program for health insurance coverage for the poor over the last three decades. It reviews Medicaid's impact on the low-income population and discusses the limitations of the program as a strategy for improving the health of low-income groups. While gaps in coverage and limitations in access persist between…

  • Restructuring Medicaid Financing: Implications of the NGA Proposal

    Report

    An analysis of the National Governors Association proposal to restructure Medicaid, including the financial impact of the core of the proposal. The report considers possible responses to the reforms and outlines some issues to consider as policymakers think about reforming the program.

  • Key Facts: Women and HIV/AIDS

    Report

    Women comprise a growing share of new cases of AIDS in the United States. In 1986, women only represented 7% of new cases of AIDS. By 1999 that share had risen to nearly one quarter. Not only do women represent an increasing share of persons with AIDS, today they represent 30 percent of new HIV infections. Women of color, particularly African Americans, have been hardest hit among women. This report provides an overview of the…

  • Understanding Individual Health Insurance Markets

    Other Post

    : Structure, Practices, and Products in Ten States New Study of Individual Health Insurance Market: Major Barriers Identified in Individual Health Insurance Market for People with Health Problems. Rates and Regulations Vary Across Ten States Studied Denials, Waiting Periods, and High Premiums Pose Problems for Pre-Medicare Population For Immediate Release Tuesday, March 17, 1998 Washington, DC - For many people who have health problems or who are approaching the age of retirement, coverage through the…

  • National Survey on Medicare: The Next Big Health Policy Debate? – News Release

    Other Post

    National Survey Suggests Need for Broad Public Debate About Medicare Reform:Americans Know Medicare Faces Problems, But Not Ready To Make Hard Choices Future Options Not Well UnderstoodFew Know About Medicare+Choice Embargoed For Release Until: Noon, Tuesday, October 20, 1998 For further information contact: Matt James or Tina Hoff (650) 854-9400 or Sara Knoll (202) 347-5270 Washington, DC - A new survey by the Kaiser Family Foundation and Harvard School of Public Health highlights the challenges…