Who are The uninsured?
- In 2022, the number of nonelderly uninsured individuals continued a downward trend, and the uninsured rate decreased from 10.2% in 2021 to a record low 9.6% in 2022. We describes trends in health coverage in 2022, examines the characteristics of the nonelderly uninsured population, and summarizes the access and financial implications of not having coverage.
- Ten years after the implementation of the Affordable Care Act’s coverage options, ten states have not adopted the Medicaid expansion, leaving 1.5 million uninsured people without an affordable coverage option. States that have not implemented the expansion have uninsured rates that are nearly double the rate of expansion states (14.1% compared to 7.5%).
- Overall, Black, Hispanic, and AIAN people fared worse compared to White people across most examined measures of health coverage and access to and use of care. Despite small gains in health coverage between 2019 and 2021, nonelderly AIAN, Hispanic, NHOPI, and Black people remained more likely to be uninsured compared to their White counterparts.
- Despite coverage gains during the pandemic, 27.5 million nonelderly people remained uninsured in 2021, many of who were eligible for assistance via the Marketplace, Medicaid, or CHIP but not enrolled in these programs. We examine the characteristics of this population using 2021 national survey data.
Percent of adults who reported not having health insurance
Percent of uninsured adults who reported delaying or not getting care due to health costs
Percent of uninsured adults who worry about medical bills if they get sick or have an accident
Percent of uninsured adults who reported not having a usual source of care (vs. 8% of insured adults)